Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $54.30 / $54.30	Facility		$54.30	$54.30	$54.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $54.00 / $54.30	Professional		$48.85	$54.00	$54.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $85.54	Facility		$43.62	$43.62	$85.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $113.44	Professional		$90.75	$90.75	$113.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $91.26 / $363.92	Facility		$66.62	$91.26	$363.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $50.35 / $85.29	Professional		$31.47	$50.35	$85.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.14 / $85.54 / $133.99	Facility		$71.14	$85.54	$133.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $86.76 / $163.47	Professional		$70.08	$86.76	$163.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $77.14 / $91.69	Professional		$65.89	$77.14	$91.69
United Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $39.40 / $65.68	Professional		$27.27	$39.40	$65.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $73.87 / $73.87	Professional		$73.87	$73.87	$73.87