Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $53.29 / $100.00	Professional		$38.04	$53.29	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $64.88 / $81.09	Professional		$55.00	$64.88	$81.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $62.47 / $103.46	Facility		$38.04	$62.47	$103.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $24.98 / $312.20	Professional		$23.46	$24.98	$312.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.72 / $55.00 / $91.69	Facility		$51.72	$55.00	$91.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $46.82 / $53.44	Professional		$42.36	$46.82	$53.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $62.69 / $78.83	Professional		$52.29	$62.69	$78.83
United Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $23.46 / $52.13	Professional		$18.37	$23.46	$52.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $42.32 / $42.32	Professional		$42.32	$42.32	$42.32