Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Facility		$40.29	$40.29	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.70 / $4,865.63	Professional		$40.29	$40.70	$4,865.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $48.27 / $48.27	Facility		$48.27	$48.27	$48.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $48.18 / $59.63	Professional		$47.70	$48.18	$59.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $75.36 / $122.18	Facility		$44.59	$75.36	$122.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $49.64 / $233.37	Professional		$44.59	$49.64	$233.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $67.84 / $111.97	Facility		$56.18	$67.84	$111.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $56.18 / $77.76	Professional		$53.51	$56.18	$77.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $40.17 / $40.17	Professional		$40.17	$40.17	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $47.95	Professional		$40.29	$40.29	$47.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $44.59 / $44.59	Facility		$44.59	$44.59	$44.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $44.59 / $44.59	Professional		$44.59	$44.59	$44.59