Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Facility		$22.97	$22.97	$22.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $22.97 / $60.97	Professional		$19.85	$22.97	$60.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $43.19 / $53.33	Professional		$35.97	$43.19	$53.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $35.57 / $57.68	Facility		$17.89	$35.57	$57.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $42.69 / $250.96	Professional		$21.60	$42.69	$250.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $48.00 / $62.29	Facility		$33.93	$48.00	$62.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $44.00 / $54.08	Professional		$27.01	$44.00	$54.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $34.09 / $40.11	Professional		$24.60	$34.09	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $39.77 / $46.79	Professional		$21.60	$39.77	$46.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $43.00 / $50.60	Professional		$41.40	$43.00	$50.60