Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $29.51	Facility		$23.99	$23.99	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $42.66	Professional		$23.99	$25.12	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $35.48	Professional		$28.18	$28.18	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $41.69 / $67.61	Facility		$29.51	$41.69	$67.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $30.90	Professional		$23.44	$30.90	$30.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $31.62	Professional		$27.54	$30.90	$31.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55