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 $14.83 / $31.40 / $55.62	Facility		$14.83	$31.40	$55.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $17.91 / $199.62	Professional		$11.52	$17.91	$199.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $43.32 / $69.78	Facility		$26.10	$43.32	$69.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $43.32 / $69.78	Professional		$26.40	$43.32	$69.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $19.03 / $29.56	Professional		$12.72	$19.03	$29.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $399.00	Professional		$399.00	$399.00	$399.00