Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $94.50 / $169.85	Facility		$40.85	$94.50	$169.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $12.84 / $97.90	Professional		$10.55	$12.84	$97.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $28.72 / $28.72	Facility		$28.72	$28.72	$28.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $54.09 / $114.85	Facility		$16.16	$54.09	$114.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $9.98 / $19.94	Professional		$8.56	$9.98	$19.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $29.06 / $44.74	Facility		$18.41	$29.06	$44.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $31.70 / $40.89	Professional		$18.41	$31.70	$40.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $33.32 / $39.20	Professional		$23.30	$33.32	$39.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $9.98 / $17.12	Professional		$5.99	$9.98	$17.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $14.27	Professional		$14.27	$14.27	$14.27