Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $28.65	Facility		$17.27	$17.27	$28.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $28.65 / $45.63	Professional		$17.27	$28.65	$45.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $48.69 / $81.81	Professional		$35.47	$48.69	$81.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $44.40 / $68.20	Facility		$24.34	$44.40	$68.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $62.00 / $210.88	Professional		$28.50	$62.00	$210.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.05 / $43.21 / $73.59	Facility		$30.05	$43.21	$73.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $54.25 / $74.67	Professional		$36.82	$54.25	$74.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $41.00 / $54.99	Professional		$27.51	$41.00	$54.99
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 $28.50 / $51.82 / $79.94	Professional		$28.50	$51.82	$79.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $40.79 / $66.70	Professional		$33.40	$40.79	$66.70