Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $76.05 / $76.05	Facility		$76.05	$76.05	$76.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $76.05 / $89.61	Professional		$70.50	$76.05	$89.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $99.37	Facility		$50.66	$50.66	$99.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $105.38 / $131.72	Professional		$105.38	$105.38	$131.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $128.52 / $423.35	Facility		$67.53	$128.52	$423.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $61.04 / $103.27	Professional		$36.56	$61.04	$103.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.62 / $99.37 / $155.59	Facility		$82.62	$99.37	$155.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $100.77 / $189.90	Professional		$81.38	$100.77	$189.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $89.61 / $106.52	Professional		$76.55	$89.61	$106.52
United Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $53.93 / $76.30	Professional		$31.67	$53.93	$76.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53