Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $109.65	Professional		$18.20	$30.90	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $42.66	Professional		$34.67	$34.67	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.70 / $93.33	Facility		$42.66	$53.70	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $199.53	Professional		$29.51	$52.48	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $52.48	Professional		$42.66	$45.71	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $60.26	Professional		$40.74	$54.95	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $69.18	Professional		$32.36	$58.88	$69.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $75.86	Professional		$63.10	$74.13	$75.86