Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $30.20	Facility		$19.05	$19.05	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $52.48	Professional		$16.98	$30.20	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $85.11	Professional		$40.74	$53.70	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $46.77 / $81.28	Facility		$27.54	$46.77	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $58.88 / $316.23	Professional		$31.62	$58.88	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $69.18	Professional		$40.74	$45.71	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $64.57	Professional		$40.74	$43.65	$64.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $57.54	Professional		$30.90	$45.71	$57.54
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 $25.12 / $43.65 / $81.28	Professional		$25.12	$43.65	$81.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $67.61	Professional		$36.31	$43.65	$67.61