Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $19.68 / $33.00	Professional		$13.44	$19.68	$33.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $65.00 / $104.88	Professional		$35.00	$65.00	$104.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $17.35 / $29.97	Facility		$13.44	$17.35	$29.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $143.90 / $165.54	Professional		$21.03	$143.90	$165.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $40.84 / $57.27	Facility		$32.01	$40.84	$57.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $36.83 / $61.94	Professional		$25.93	$36.83	$61.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $33.04 / $49.75	Professional		$26.33	$33.04	$49.75
United Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $24.63 / $29.68	Professional		$21.03	$24.63	$29.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00