Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $12.55 / $12.55	Facility		$12.55	$12.55	$12.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $12.55 / $15.06	Professional		$9.46	$12.55	$15.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $36.88	Facility		$29.50	$29.50	$36.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $22.88 / $28.59	Professional		$22.88	$22.88	$28.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $22.73 / $36.85	Facility		$17.66	$22.73	$36.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $15.68 / $157.25	Professional		$7.84	$15.68	$157.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $22.42 / $28.32	Facility		$21.58	$22.42	$28.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $21.95 / $41.35	Professional		$18.00	$21.95	$41.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $19.68 / $26.05	Professional		$16.41	$19.68	$26.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $9.82 / $16.36	Professional		$6.54	$9.82	$16.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Professional		$17.71	$17.71	$17.71