Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $28.01 / $28.01	Facility		$28.01	$28.01	$28.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $23.24 / $28.01	Professional		$19.97	$23.24	$28.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $59.40 / $59.40	Facility		$59.40	$59.40	$59.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $54.18 / $67.73	Professional		$41.93	$54.18	$67.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $33.75 / $59.31	Facility		$28.56	$33.75	$59.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $18.21 / $180.90	Professional		$14.03	$18.21	$180.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $50.00 / $72.20	Facility		$38.45	$50.00	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $46.00 / $65.31	Professional		$35.76	$46.00	$65.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $61.03 / $81.87	Professional		$33.01	$61.03	$81.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $14.03 / $29.80	Professional		$12.52	$14.03	$29.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Professional		$29.80	$29.80	$29.80