Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $29.54 / $29.54	Professional		$20.30	$29.54	$29.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $42.43 / $42.43	Facility		$42.43	$42.43	$42.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $42.43 / $53.04	Professional		$26.85	$42.43	$53.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $34.31 / $135.63	Facility		$23.78	$34.31	$135.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $22.00 / $46.83	Professional		$15.92	$22.00	$46.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $45.93 / $54.72	Facility		$38.57	$45.93	$54.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $45.93 / $85.61	Professional		$23.95	$45.93	$85.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $19.69 / $19.69	Professional		$19.69	$19.69	$19.69
United Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $19.70 / $32.84	Professional		$12.72	$19.70	$32.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $171.40 / $171.40	Professional		$171.40	$171.40	$171.40