Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $62.98 / $62.98	Facility		$14.47	$62.98	$62.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.75 / $18.39	Professional		$13.42	$13.75	$18.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $30.68 / $30.68	Facility		$30.68	$30.68	$30.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $28.07 / $35.09	Professional		$17.76	$28.07	$35.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $14.74 / $111.86	Facility		$4.61	$14.74	$111.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $10.77 / $21.50	Professional		$9.23	$10.77	$21.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $29.99 / $31.35	Facility		$19.86	$29.99	$31.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $31.35 / $40.17	Professional		$19.86	$31.35	$40.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $35.94 / $42.28	Professional		$22.31	$35.94	$42.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.77 / $18.47	Professional		$6.46	$10.77	$18.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $15.39 / $15.39	Professional		$15.39	$15.39	$15.39