Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Facility		$19.98	$19.98	$19.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $25.92 / $135.00	Professional		$17.48	$25.92	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $37.52 / $46.34	Professional		$31.72	$37.52	$46.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $31.77 / $64.31	Facility		$15.56	$31.77	$64.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $49.65 / $440.85	Professional		$25.72	$49.65	$440.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $46.35 / $57.03	Facility		$38.90	$46.35	$57.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $46.35 / $54.37	Professional		$32.60	$46.35	$54.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $32.74 / $44.10	Professional		$21.78	$32.74	$44.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $41.38 / $56.36	Professional		$23.37	$41.38	$56.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $37.50 / $44.10	Professional		$36.00	$37.50	$44.10