Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $12.70 / $14.52	Professional		$12.42	$12.70	$14.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $30.68 / $30.68	Facility		$30.68	$30.68	$30.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $28.07 / $35.09	Professional		$17.76	$28.07	$35.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $22.86 / $100.00	Facility		$14.80	$22.86	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $13.91 / $29.33	Professional		$9.27	$13.91	$29.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $29.04 / $48.44	Facility		$19.94	$29.04	$48.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $31.67 / $40.85	Professional		$19.94	$31.67	$40.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $36.08 / $42.44	Professional		$15.82	$36.08	$42.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $13.91 / $20.39	Professional		$6.49	$13.91	$20.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $15.45 / $15.45	Professional		$15.45	$15.45	$15.45