Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $108.05 / $125.98	Professional		$104.36	$108.05	$125.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.70 / $149.63 / $187.03	Professional		$124.70	$149.63	$187.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.98 / $128.53 / $212.91	Facility		$125.98	$128.53	$212.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $64.36 / $713.52	Professional		$51.39	$64.36	$713.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $141.90 / $251.55	Facility		$126.00	$141.90	$251.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $116.22 / $128.47	Professional		$109.96	$116.22	$128.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $129.00 / $162.19	Professional		$107.60	$129.00	$162.19
United Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $53.63 / $113.06	Professional		$50.39	$53.63	$113.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $116.10 / $116.10	Professional		$116.10	$116.10	$116.10