Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $21.13 / $21.13	Facility		$21.13	$21.13	$21.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $22.04 / $120.60	Professional		$20.03	$22.04	$120.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $45.04 / $45.04	Facility		$45.04	$45.04	$45.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $40.47 / $50.59	Professional		$25.61	$40.47	$50.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $26.49 / $106.78	Facility		$21.54	$26.49	$106.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.13 / $33.99	Professional		$13.49	$18.13	$33.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $41.21 / $58.55	Facility		$29.01	$41.21	$58.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $41.21 / $58.67	Professional		$24.98	$41.21	$58.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $52.49 / $61.76	Professional		$26.98	$52.49	$61.76
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.13 / $26.98	Professional		$13.49	$18.13	$26.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $22.48 / $22.48	Professional		$22.48	$22.48	$22.48