Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $167.00 / $813.12	Facility		$23.75	$167.00	$813.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $22.47 / $23.75	Professional		$16.43	$22.47	$23.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $50.27 / $50.27	Facility		$50.27	$50.27	$50.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $45.70 / $57.12	Professional		$28.91	$45.70	$57.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $40.51 / $121.00	Facility		$24.21	$40.51	$121.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $15.16 / $30.32	Professional		$4.07	$15.16	$30.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $51.49 / $79.22	Facility		$32.60	$51.49	$79.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $45.59 / $68.72	Professional		$8.78	$45.59	$68.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $59.01 / $69.42	Professional		$13.09	$59.01	$69.42
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $15.16 / $25.27	Professional		$4.07	$15.16	$25.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27