Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $19.05	Facility		$10.96	$10.96	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $40.74	Professional		$10.00	$19.05	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $58.88	Professional		$23.99	$35.48	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $29.51 / $53.70	Facility		$15.85	$29.51	$53.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $40.74 / $199.53	Professional		$20.89	$40.74	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $27.54 / $44.67	Professional		$23.99	$27.54	$44.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.70 / $42.66	Professional		$23.99	$25.70	$42.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $43.65	Professional		$18.20	$31.62	$43.65
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 $14.79 / $28.18 / $53.70	Professional		$14.79	$28.18	$53.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $46.77	Professional		$21.38	$25.70	$46.77