Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $19.05	Professional		$8.91	$12.88	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $25.12	Facility		$9.55	$13.49	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.90	Professional		$24.55	$24.55	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.91 / $39.81	Facility		$15.14	$22.91	$39.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.80 / $109.65	Professional		$8.51	$13.80	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $24.55	Professional		$20.42	$24.55	$24.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $38.02	Professional		$20.42	$20.42	$38.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $28.18	Professional		$18.20	$21.38	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $21.88	Professional		$8.51	$10.72	$21.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95