Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $60.59 / $60.59	Facility		$60.59	$60.59	$60.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $33.39 / $64.95	Professional		$30.35	$33.39	$64.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.50 / $141.50 / $176.88	Facility		$141.50	$141.50	$176.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $110.25 / $137.81	Professional		$110.25	$110.25	$137.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $109.77 / $177.96	Facility		$71.66	$109.77	$177.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $75.70 / $637.82	Professional		$37.86	$75.70	$637.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $108.26 / $136.75	Facility		$104.21	$108.26	$136.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $104.52 / $169.57	Professional		$86.90	$104.52	$169.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $95.02 / $125.77	Professional		$79.25	$95.02	$125.77
United Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $60.57 / $79.00	Professional		$31.55	$60.57	$79.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $85.52 / $85.52	Professional		$85.52	$85.52	$85.52