Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $45.71	Professional		$23.99	$33.88	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $70.79	Facility		$34.67	$34.67	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $91.20	Professional		$72.44	$72.44	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $63.10 / $120.23	Facility		$47.86	$63.10	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $316.23	Professional		$25.12	$39.81	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $69.18	Professional		$57.54	$69.18	$69.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $114.82	Professional		$57.54	$57.54	$114.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $83.18	Professional		$52.48	$63.10	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $66.07	Professional		$25.12	$31.62	$66.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88