Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $4,365.16	Facility		$25.70	$25.70	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $28.18	Professional		$22.91	$25.70	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $63.10	Professional		$51.29	$51.29	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $44.67 / $102.33	Facility		$34.67	$44.67	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $46.77 / $407.38	Professional		$22.91	$46.77	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $58.88	Professional		$53.70	$57.54	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $47.86	Professional		$33.88	$44.67	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $46.77 / $54.95	Professional		$27.54	$46.77	$54.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $45.71	Professional		$37.15	$43.65	$45.71