Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Facility		$75.79	$75.79	$75.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Professional		$75.79	$75.79	$75.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.90 / $196.90 / $246.13	Facility		$196.90	$196.90	$246.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $75.79 / $91.08	Professional		$72.86	$75.79	$91.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $140.57 / $227.91	Facility		$83.18	$140.57	$227.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $83.18 / $1,311.00	Professional		$75.79	$83.18	$1,311.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.80 / $155.26 / $647.38	Facility		$85.80	$155.26	$647.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $99.81 / $1,140.95	Professional		$85.80	$99.81	$1,140.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $82.94 / $82.94	Professional		$82.94	$82.94	$82.94
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $83.37	Professional		$75.79	$75.79	$83.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18