Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Facility		$52.75	$52.75	$52.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $59.40 / $83.00	Facility		$36.50	$59.40	$83.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $53.29 / $65.95	Professional		$52.76	$53.29	$65.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $82.56 / $85.04	Facility		$48.85	$82.56	$85.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $48.85 / $213.92	Professional		$48.85	$48.85	$213.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $62.14 / $72.68	Facility		$50.24	$62.14	$72.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $57.05 / $62.14	Professional		$25.87	$57.05	$62.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $57.73	Professional		$57.73	$57.73	$57.73
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $58.03	Professional		$52.75	$52.75	$58.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $48.85 / $48.85	Facility		$48.85	$48.85	$48.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $48.85 / $48.85	Professional		$48.85	$48.85	$48.85