Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $61.42 / $75.29	Facility		$20.79	$61.42	$75.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $20.84 / $23.08	Professional		$10.34	$20.84	$23.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $46.35 / $57.94	Professional		$29.32	$46.35	$57.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $46.72 / $120.89	Facility		$24.02	$46.72	$120.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $15.27 / $30.54	Professional		$12.98	$15.27	$30.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $44.54 / $51.86	Facility		$30.54	$44.54	$51.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $42.70 / $51.86	Professional		$30.54	$42.70	$51.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $61.32 / $69.92	Professional		$25.45	$61.32	$69.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.27 / $30.54	Professional		$10.69	$15.27	$30.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $25.45 / $25.45	Professional		$25.45	$25.45	$25.45