Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $4,365.16	Facility		$33.88	$33.88	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $89.13	Professional		$33.11	$36.31	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $109.65	Professional		$89.13	$89.13	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $64.57 / $109.65	Facility		$46.77	$64.57	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.79 / $295.12	Professional		$38.02	$70.79	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $93.33	Professional		$89.13	$91.20	$93.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $81.28	Professional		$51.29	$70.79	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $109.65	Professional		$43.65	$75.86	$109.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $95.50	Professional		$79.43	$93.33	$95.50