Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $107.30 / $209.00	Facility		$18.85	$107.30	$209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $17.91 / $26.67	Professional		$13.43	$17.91	$26.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Facility		$39.82	$39.82	$39.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $36.56 / $45.70	Professional		$28.29	$36.56	$45.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $32.15 / $98.93	Facility		$19.20	$32.15	$98.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $18.05 / $166.43	Professional		$12.03	$18.05	$166.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $43.94 / $62.86	Facility		$25.87	$43.94	$62.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $40.85 / $57.46	Professional		$24.06	$40.85	$57.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $48.31 / $55.08	Professional		$32.75	$48.31	$55.08
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $14.03 / $26.47	Professional		$8.42	$14.03	$26.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Professional		$20.05	$20.05	$20.05