Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Facility		$65.88	$65.88	$65.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Professional		$65.88	$65.88	$65.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.95 / $89.95 / $112.44	Facility		$89.95	$89.95	$112.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $66.62 / $82.45	Professional		$65.95	$66.62	$82.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $112.13 / $240.33	Facility		$66.34	$112.13	$240.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $66.34 / $3,978.60	Professional		$65.88	$66.34	$3,978.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $83.26 / $96.07	Facility		$77.70	$83.26	$96.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $79.62 / $180.15	Professional		$77.70	$79.62	$180.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $72.09 / $72.09	Professional		$72.09	$72.09	$72.09
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $65.88 / $84.55	Professional		$64.05	$65.88	$84.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $66.34 / $66.34	Facility		$66.34	$66.34	$66.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $66.34 / $66.34	Professional		$66.34	$66.34	$66.34