Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $98.89 / $248.44	Facility		$12.89	$98.89	$248.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $16.41 / $20.56	Professional		$12.89	$16.41	$20.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $27.42 / $27.42	Facility		$27.42	$27.42	$27.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.81 / $31.01	Professional		$15.69	$24.81	$31.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $15.53 / $109.00	Facility		$13.14	$15.53	$109.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $12.34 / $20.54	Professional		$6.98	$12.34	$20.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $27.92 / $33.61	Facility		$14.86	$27.92	$33.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $23.00 / $35.78	Professional		$14.86	$23.00	$35.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $32.01 / $37.65	Professional		$16.43	$32.01	$37.65
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $8.23 / $16.45	Professional		$5.76	$8.23	$16.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $13.71	Professional		$13.71	$13.71	$13.71