Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $197.96 / $219.96	Facility		$14.73	$197.96	$219.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.88 / $22.09	Professional		$14.73	$14.88	$22.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $18.75	Professional		$15.00	$15.00	$18.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $24.84 / $40.28	Facility		$17.04	$24.84	$40.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $16.17	Professional		$14.70	$14.70	$16.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $17.64 / $22.05	Facility		$16.73	$17.64	$22.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $17.64 / $38.47	Professional		$16.73	$17.64	$38.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $16.12	Professional		$16.12	$16.12	$16.12
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $16.20	Professional		$14.73	$14.73	$16.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Professional		$14.70	$14.70	$14.70