Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $21.44 / $21.44	Facility		$21.44	$21.44	$21.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $21.44 / $115.70	Professional		$15.28	$21.44	$115.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.70	Facility		$45.70	$45.70	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $41.78 / $52.22	Professional		$26.43	$41.78	$52.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $25.82 / $172.36	Facility		$21.85	$25.82	$172.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $16.64 / $27.37	Professional		$5.66	$16.64	$27.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $46.46 / $50.69	Facility		$29.43	$46.46	$50.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $50.00 / $63.17	Professional		$12.23	$50.00	$63.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $53.26 / $62.66	Professional		$18.22	$53.26	$62.66
United Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $13.69 / $27.37	Professional		$5.66	$13.69	$27.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $22.81	Professional		$22.81	$22.81	$22.81