Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.43 / $110.43 / $110.43	Facility		$110.43	$110.43	$110.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $110.43 / $130.13	Professional		$102.38	$110.43	$130.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $144.29	Facility		$104.66	$104.66	$144.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $191.25	Professional		$153.00	$153.00	$191.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.07 / $186.63 / $613.91	Facility		$98.07	$186.63	$613.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $88.65 / $149.94	Professional		$53.09	$88.65	$149.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.98 / $144.29 / $226.01	Facility		$119.98	$144.29	$226.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $146.33 / $275.74	Professional		$118.18	$146.33	$275.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $130.13 / $154.69	Professional		$111.15	$130.13	$154.69
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $78.34 / $110.81	Professional		$46.00	$78.34	$110.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $128.55 / $128.55	Professional		$128.55	$128.55	$128.55