Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.88 / $16.98	Facility		$10.00	$12.88	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $34.67	Professional		$10.00	$12.88	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $40.74	Professional		$26.30	$32.36	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $22.91 / $40.74	Facility		$14.13	$22.91	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $28.18 / $295.12	Professional		$13.80	$28.18	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.18 / $34.67	Professional		$26.30	$28.18	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $31.62	Professional		$25.12	$25.12	$31.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $28.18	Professional		$19.05	$23.44	$28.18
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 $14.13 / $25.12 / $40.74	Professional		$14.13	$25.12	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $33.88	Professional		$22.91	$27.54	$33.88