Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Facility		$64.66	$64.66	$64.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $56.13 / $64.66	Professional		$27.53	$56.13	$64.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $64.81 / $98.27	Facility		$56.56	$64.81	$98.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $135.00	Professional		$108.00	$108.00	$135.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $106.81 / $432.48	Facility		$63.20	$106.81	$432.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $58.93 / $98.52	Professional		$36.83	$58.93	$98.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $98.27 / $159.30	Facility		$81.70	$98.27	$159.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $99.65 / $187.80	Professional		$80.48	$99.65	$187.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.11 / $90.28 / $107.32	Professional		$77.11	$90.28	$107.32
United Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $61.50 / $98.52	Professional		$34.51	$61.50	$98.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $84.87 / $84.87	Professional		$84.87	$84.87	$84.87