Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $29.81 / $29.81	Facility		$29.81	$29.81	$29.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $29.64 / $29.81	Professional		$26.81	$29.64	$29.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $46.95	Facility		$26.67	$26.67	$46.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $49.88 / $62.34	Professional		$49.88	$49.88	$62.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $50.09 / $199.79	Facility		$28.58	$50.09	$199.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $27.65 / $46.80	Professional		$17.28	$27.65	$46.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $46.95 / $73.54	Facility		$39.04	$46.95	$73.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $47.61 / $89.72	Professional		$38.46	$47.61	$89.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $42.34 / $50.33	Professional		$36.18	$42.34	$50.33
United Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $27.65 / $36.06	Professional		$14.97	$27.65	$36.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Professional		$40.54	$40.54	$40.54