Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $38.29 / $38.29	Facility		$38.29	$38.29	$38.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $38.29 / $38.29	Professional		$26.32	$38.29	$38.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $54.84 / $54.84	Facility		$54.84	$54.84	$54.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $54.84 / $68.54	Professional		$34.69	$54.84	$68.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $40.72 / $72.12	Facility		$22.24	$40.72	$72.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $23.23 / $258.24	Professional		$13.70	$23.23	$258.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $56.56 / $90.25	Facility		$34.15	$56.56	$90.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $55.81 / $74.69	Professional		$34.54	$55.81	$74.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $16.85	Professional		$16.85	$16.85	$16.85
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $20.50 / $42.59	Professional		$13.70	$20.50	$42.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $26.10 / $26.10	Professional		$21.30	$26.10	$26.10