Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $120.23	Facility		$19.95	$19.95	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $33.88	Professional		$15.14	$21.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $66.07	Professional		$41.69	$52.48	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $26.92 / $63.10	Facility		$16.98	$26.92	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $104.71	Professional		$22.91	$38.90	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $60.26	Professional		$46.77	$50.12	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $43.65 / $52.48	Professional		$22.39	$43.65	$52.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $46.77	Professional		$25.70	$37.15	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.90 / $57.54	Professional		$20.42	$38.90	$57.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $38.90	Professional		$30.20	$33.11	$38.90