Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $128.86	Professional		$20.00	$20.00	$128.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $119.69 / $257.72	Facility		$33.79	$119.69	$257.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $52.85 / $252.33	Professional		$52.85	$52.85	$252.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $9.99	Professional		$9.99	$9.99	$9.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $296.20 / $296.20 / $296.20	Professional		$296.20	$296.20	$296.20