Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.47 / $17.96 / $38.53	Facility		$13.47	$17.96	$38.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $37.24 / $296.69	Professional		$15.27	$37.24	$296.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $45.00 / $59.71	Professional		$21.53	$45.00	$59.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $33.04 / $62.58	Facility		$16.94	$33.04	$62.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $70.27 / $251.37	Professional		$39.31	$70.27	$251.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $72.06 / $92.81	Facility		$37.72	$72.06	$92.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $49.17 / $92.81	Professional		$37.72	$49.17	$92.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $44.40 / $62.98	Professional		$20.83	$44.40	$62.98
United Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $45.63 / $91.50	Professional		$37.59	$45.63	$91.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $35.29 / $73.90	Professional		$28.80	$35.29	$73.90