Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $54.32 / $76.56	Facility		$23.22	$54.32	$76.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $23.22 / $28.48	Professional		$12.27	$23.22	$28.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $22.95 / $28.45	Professional		$22.76	$22.95	$28.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $33.20 / $63.62	Facility		$16.61	$33.20	$63.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $22.96 / $23.22	Professional		$17.91	$22.96	$23.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $21.26 / $27.79	Facility		$20.51	$21.26	$27.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $25.48 / $31.87	Professional		$14.88	$25.48	$31.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $23.22 / $26.00	Professional		$22.35	$23.22	$26.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $22.96 / $25.14	Professional		$17.73	$22.96	$25.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $23.22 / $23.22	Facility		$23.22	$23.22	$23.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $23.22 / $23.22	Professional		$23.22	$23.22	$23.22