Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Professional		$19.48	$19.48	$19.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $28.00 / $35.00	Facility		$28.00	$28.00	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $22.12 / $26.25	Professional		$21.00	$22.12	$26.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $32.92 / $34.90	Facility		$19.48	$32.92	$34.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $105.00	Professional		$19.48	$19.48	$105.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $32.02 / $34.57	Facility		$22.12	$32.02	$34.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $23.37 / $34.57	Professional		$22.12	$23.37	$34.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $21.32 / $21.32	Professional		$21.32	$21.32	$21.32
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $21.43	Professional		$19.48	$19.48	$21.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Professional		$19.48	$19.48	$19.48