Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.39 / $41.39 / $41.39	Facility		$41.39	$41.39	$41.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $41.39 / $41.39	Professional		$29.50	$41.39	$41.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.48 / $87.48 / $87.48	Facility		$87.48	$87.48	$87.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $79.64 / $99.55	Professional		$50.39	$79.64	$99.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $49.86 / $209.14	Facility		$28.96	$49.86	$209.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $37.15 / $52.84	Professional		$12.63	$37.15	$52.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $64.73 / $80.73	Facility		$40.13	$64.73	$80.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $51.72 / $114.92	Professional		$27.30	$51.72	$114.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $102.81 / $120.96	Professional		$37.44	$102.81	$120.96
United Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $26.42 / $44.03	Professional		$12.63	$26.42	$44.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $44.03 / $44.03	Professional		$44.03	$44.03	$44.03