Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $50.12	Professional		$22.91	$37.15	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.02 / $67.61	Facility		$34.67	$38.02	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $66.07 / $120.23	Facility		$41.69	$66.07	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $323.59	Professional		$25.12	$38.90	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $67.61	Professional		$54.95	$67.61	$67.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $114.82	Professional		$54.95	$54.95	$114.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $85.11	Professional		$53.70	$63.10	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $64.57	Professional		$25.12	$31.62	$64.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95