Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.11 / $84.11 / $84.11	Facility		$84.11	$84.11	$84.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $83.66 / $84.11	Professional		$74.69	$83.66	$84.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $132.51	Facility		$67.56	$67.56	$132.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $140.25 / $175.31	Professional		$140.25	$140.25	$175.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.21 / $141.38 / $563.71	Facility		$103.21	$141.38	$563.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $78.02 / $132.12	Professional		$48.76	$78.02	$132.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.18 / $132.51 / $207.53	Facility		$110.18	$132.51	$207.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $134.37 / $253.23	Professional		$108.53	$134.37	$253.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $119.52 / $142.07	Professional		$102.09	$119.52	$142.07
United Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $81.42 / $128.34	Professional		$44.96	$81.42	$128.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $114.44 / $114.44	Professional		$114.44	$114.44	$114.44