Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $77.34 / $176.12	Facility		$12.27	$77.34	$176.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $11.74 / $74.70	Professional		$11.37	$11.74	$74.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $26.11 / $26.11	Facility		$26.11	$26.11	$26.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $20.92 / $64.17	Facility		$12.50	$20.92	$64.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.75 / $21.84	Professional		$7.43	$11.75	$21.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $26.58 / $40.90	Facility		$13.45	$26.58	$40.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $21.90 / $35.47	Professional		$13.45	$21.90	$35.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $30.47 / $35.85	Professional		$17.47	$30.47	$35.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $9.13 / $18.23	Professional		$5.48	$9.13	$18.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $13.05 / $13.05	Professional		$13.05	$13.05	$13.05