Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $18.46 / $31.27	Facility		$18.46	$18.46	$31.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $39.60 / $68.98	Professional		$18.46	$39.60	$68.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $50.64 / $85.70	Professional		$38.21	$50.64	$85.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $48.27 / $96.99	Facility		$25.62	$48.27	$96.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $68.53 / $367.25	Professional		$34.36	$68.53	$367.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $56.32 / $92.20	Facility		$38.79	$56.32	$92.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $60.45 / $103.00	Professional		$38.79	$60.45	$103.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $42.44 / $57.05	Professional		$29.14	$42.44	$57.05
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $57.70 / $87.64	Professional		$31.50	$57.70	$87.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $41.60 / $69.09	Professional		$34.00	$41.60	$69.09