Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $85.50 / $173.90	Facility		$43.00	$85.50	$173.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $10.38 / $45.00	Professional		$8.99	$10.38	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $60.00 / $161.72	Facility		$11.05	$60.00	$161.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $6.92 / $13.84	Professional		$5.88	$6.92	$13.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $20.18 / $23.49	Facility		$13.84	$20.18	$23.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $19.34 / $23.49	Professional		$13.84	$19.34	$23.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $27.78 / $31.68	Professional		$11.53	$27.78	$31.68
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.92 / $17.30	Professional		$4.84	$6.92	$17.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $11.53	Professional		$11.53	$11.53	$11.53