Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $40.53 / $61.99	Facility		$11.69	$40.53	$61.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $12.99 / $41.40	Professional		$11.18	$12.99	$41.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $40.50 / $40.50 / $41.40	Professional	25	$40.50	$40.50	$41.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $23.79 / $30.58	Professional		$13.72	$23.79	$30.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $20.27 / $27.02	Facility		$12.81	$20.27	$27.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $25.70 / $199.96	Professional		$14.74	$25.70	$199.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $23.91 / $29.84	Facility		$16.04	$23.91	$29.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.53 / $28.51	Professional		$15.85	$23.53	$28.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $22.64 / $27.82	Professional		$16.45	$22.64	$27.82
United Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $22.85 / $29.37	Professional		$13.19	$22.85	$29.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.80 / $25.60	Professional		$20.00	$20.80	$25.60