Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $53.39 / $53.39	Facility		$53.39	$53.39	$53.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $53.39 / $57.23	Professional		$53.39	$53.39	$57.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $125.00 / $156.25	Facility		$125.00	$125.00	$156.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $97.13 / $121.41	Professional		$97.13	$97.13	$121.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $96.72 / $156.81	Facility		$61.06	$96.72	$156.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $66.70 / $544.17	Professional		$33.36	$66.70	$544.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $95.39 / $120.50	Facility		$91.83	$95.39	$120.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $92.09 / $144.44	Professional		$76.56	$92.09	$144.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $83.72 / $110.81	Professional		$69.84	$83.72	$110.81
United Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $53.37 / $110.51	Professional		$27.80	$53.37	$110.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $75.34 / $75.34	Professional		$75.34	$75.34	$75.34