Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $22.42 / $25.85	Facility		$22.42	$22.42	$25.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $24.56 / $31.69	Professional		$19.80	$24.56	$31.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $51.62 / $63.38	Professional		$34.79	$51.62	$63.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.48 / $43.69	Facility		$20.89	$25.48	$43.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $45.95 / $158.72	Professional		$19.52	$45.95	$158.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $54.95 / $64.54	Facility		$46.92	$54.95	$64.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $56.99 / $64.95	Professional		$49.96	$56.99	$64.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $31.05 / $48.92	Professional		$25.83	$31.05	$48.92
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $26.37 / $64.00	Professional		$19.14	$26.37	$64.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $34.70 / $40.79	Professional		$29.30	$34.70	$40.79