Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $20.67 / $20.67	Facility		$20.67	$20.67	$20.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $20.67 / $20.67	Professional		$14.73	$20.67	$20.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $43.74 / $43.74	Facility		$43.74	$43.74	$43.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $39.82 / $49.78	Professional		$25.19	$39.82	$49.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $35.24 / $200.11	Facility		$21.06	$35.24	$200.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $19.79 / $45.24	Professional		$13.19	$19.79	$45.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $44.80 / $68.94	Facility		$28.38	$44.80	$68.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $48.86 / $62.98	Professional		$28.38	$48.86	$62.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $51.35 / $60.41	Professional		$21.99	$51.35	$60.41
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $15.38 / $26.39	Professional		$9.24	$15.38	$26.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Professional		$21.99	$21.99	$21.99