Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $26.92	Facility		$23.99	$23.99	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $30.20	Professional		$15.85	$22.91	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $45.71	Professional		$33.11	$38.02	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $45.71	Facility		$20.89	$27.54	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $154.88 / $165.96	Professional		$38.02	$154.88	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $75.86	Professional		$38.02	$43.65	$75.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $41.69	Professional		$38.02	$38.02	$41.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $63.10	Professional		$28.18	$38.02	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $70.79	Professional		$25.12	$43.65	$70.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $47.86	Professional		$36.31	$42.66	$47.86