Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $32.36 / $32.36	Facility		$26.92	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $151.36	Professional		$26.92	$32.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.92 / $33.88	Professional		$23.44	$26.92	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $53.70 / $295.12	Facility		$30.20	$53.70	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $173.78	Professional		$28.18	$44.67	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $72.44	Professional		$52.48	$57.54	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $67.61	Professional		$27.54	$44.67	$67.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49