Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $98.98 / $98.98	Facility		$30.80	$98.98	$98.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $27.85 / $49.15	Professional		$25.56	$27.85	$49.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.28 / $62.28 / $62.28	Facility		$62.28	$62.28	$62.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $59.40 / $74.26	Professional		$37.58	$59.40	$74.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $34.76 / $155.66	Facility		$26.02	$34.76	$155.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $29.49 / $45.06	Professional		$15.32	$29.49	$45.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $53.51 / $60.10	Facility		$42.28	$53.51	$60.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $60.10 / $85.53	Professional		$42.28	$60.10	$85.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $76.52 / $90.03	Professional		$35.76	$76.52	$90.03
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $16.85 / $39.32	Professional		$13.76	$16.85	$39.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $32.77 / $32.77	Professional		$32.77	$32.77	$32.77