Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $48.39 / $48.39	Facility		$48.39	$48.39	$48.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $49.91 / $57.53	Professional		$48.39	$49.91	$57.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $70.33	Facility		$37.36	$37.36	$70.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $67.80 / $83.91	Professional		$67.13	$67.80	$83.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $75.08 / $305.37	Facility		$47.81	$75.08	$305.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $39.18 / $73.09	Professional		$23.47	$39.18	$73.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $70.33 / $110.87	Facility		$58.48	$70.33	$110.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $71.33 / $134.40	Professional		$57.61	$71.33	$134.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $57.53 / $68.38	Professional		$49.13	$57.53	$68.38
United Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $38.42 / $66.44	Professional		$22.57	$38.42	$66.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $62.66 / $62.66	Professional		$62.66	$62.66	$62.66