Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $29.01 / $29.01	Facility		$29.01	$29.01	$29.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $29.01 / $29.01	Professional		$20.68	$29.01	$29.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.36 / $61.36 / $61.36	Facility		$61.36	$61.36	$61.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $56.14 / $70.18	Professional		$35.52	$56.14	$70.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $36.77 / $146.59	Facility		$29.57	$36.77	$146.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $27.77 / $47.21	Professional		$16.05	$27.77	$47.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $56.58 / $83.40	Facility		$39.82	$56.58	$83.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $56.58 / $80.54	Professional		$34.69	$56.58	$80.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $72.06 / $84.78	Professional		$37.46	$72.06	$84.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $18.52 / $33.51	Professional		$12.96	$18.52	$33.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $30.86	Professional		$30.86	$30.86	$30.86