Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $23.37 / $23.37	Facility		$23.37	$23.37	$23.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.37 / $688.35	Professional		$19.00	$23.37	$688.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $39.44 / $40.44	Professional		$31.84	$39.44	$40.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $23.37 / $35.06	Facility		$19.00	$23.37	$35.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $98.90 / $178.47	Professional		$46.92	$98.90	$178.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $41.41 / $48.69	Facility		$41.41	$41.41	$48.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $41.41 / $41.41	Professional		$41.41	$41.41	$41.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $34.03 / $34.03	Professional		$34.03	$34.03	$34.03
United Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $73.88 / $87.55	Professional		$35.02	$73.88	$87.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $39.40 / $39.40	Professional		$39.40	$39.40	$39.40