Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $75.63 / $165.00	Professional		$64.14	$75.63	$165.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $104.63 / $130.78	Professional		$87.21	$104.63	$130.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.14 / $88.18 / $145.53	Facility		$64.14	$88.18	$145.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $39.54 / $487.04	Professional		$35.13	$39.54	$487.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $87.21 / $154.60	Facility		$83.00	$87.21	$154.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $75.16 / $78.95	Professional		$71.42	$75.16	$78.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $88.18 / $110.88	Professional		$83.93	$88.18	$110.88
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $35.97 / $73.31	Professional		$29.40	$35.97	$73.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00