Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $15.95 / $15.95	Professional		$15.95	$15.95	$15.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $35.15 / $49.31	Professional		$28.13	$35.15	$49.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $35.85 / $128.63	Facility		$26.90	$35.85	$128.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $50.54 / $247.34	Professional		$15.67	$50.54	$247.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $39.90 / $58.40	Facility		$36.97	$39.90	$58.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $36.39 / $50.54	Professional		$25.00	$36.39	$50.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $43.11 / $52.80	Professional		$37.47	$43.11	$52.80
United Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $15.67 / $58.64	Professional		$14.38	$15.67	$58.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $52.30 / $54.40	Professional		$44.50	$52.30	$54.40