Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $15.10 / $15.10	Facility		$15.10	$15.10	$15.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $7.55 / $7.55 / $7.55	Facility	52	$7.55	$7.55	$7.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $20.56 / $72.98	Professional		$13.39	$20.56	$72.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $29.03 / $35.84	Professional		$24.18	$29.03	$35.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $23.41 / $40.02	Facility		$12.05	$23.41	$40.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $28.60 / $250.96	Professional		$14.40	$28.60	$250.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $32.00 / $41.08	Facility		$22.73	$32.00	$41.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $29.63 / $36.07	Professional		$18.10	$29.63	$36.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $23.10 / $27.17	Professional		$16.47	$23.10	$27.17
United Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $26.65 / $31.35	Professional		$13.54	$26.65	$31.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $29.10 / $34.29	Professional		$28.00	$29.10	$34.29