Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $33.88 / $4,365.16	Facility		$15.85	$33.88	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $32.36 / $75.86	Professional		$15.85	$32.36	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $97.72	Professional		$36.31	$47.86	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $46.77 / $93.33	Facility		$20.42	$46.77	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $63.10 / $245.47	Professional		$28.84	$63.10	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $75.86	Professional		$36.31	$41.69	$75.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $69.18	Professional		$36.31	$36.31	$69.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $53.70 / $63.10	Professional		$27.54	$53.70	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $79.43	Professional		$22.91	$42.66	$79.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $70.79	Professional		$29.51	$36.31	$70.79