Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $29.48 / $29.48	Facility		$29.48	$29.48	$29.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $29.48	Professional		$24.39	$24.39	$29.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $128.77 / $160.96	Professional		$84.25	$128.77	$160.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $41.68 / $49.82	Facility		$23.37	$41.68	$49.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $101.45 / $304.74	Professional		$65.56	$101.45	$304.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $33.95 / $118.63	Facility		$19.63	$33.95	$118.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $62.08 / $118.63	Professional		$21.34	$62.08	$118.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $20.23 / $20.23	Professional		$20.23	$20.23	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $91.89 / $122.52	Professional		$63.34	$91.89	$122.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $59.10 / $59.10	Professional		$50.20	$59.10	$59.10