Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $30.20	Facility		$19.95	$19.95	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $138.04	Professional		$18.20	$25.70	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $81.28	Professional		$42.66	$53.70	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $39.81 / $72.44	Facility		$26.30	$39.81	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $51.29 / $239.88	Professional		$23.44	$51.29	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $61.66	Professional		$39.81	$44.67	$61.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $52.48	Professional		$27.54	$39.81	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $72.44	Professional		$22.91	$40.74	$72.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $67.61	Professional		$36.31	$44.67	$67.61