Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $19.29 / $19.95	Professional		$18.22	$19.29	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $37.36 / $46.24	Professional		$30.02	$37.36	$46.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.72 / $74.39	Facility		$15.49	$33.72	$74.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $34.51 / $200.00	Professional		$19.80	$34.51	$200.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $41.08 / $58.62	Facility		$30.33	$41.08	$58.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $41.08 / $52.68	Professional		$30.33	$41.08	$52.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $31.21 / $51.06	Professional		$22.09	$31.21	$51.06
United Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $33.86 / $41.60	Professional		$19.80	$33.86	$41.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $40.79 / $42.40	Professional		$34.70	$40.79	$42.40