Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $135.41 / $135.41	Facility		$22.64	$135.41	$135.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $22.64 / $68.40	Professional		$16.13	$22.64	$68.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $25.13 / $31.41	Professional		$25.13	$25.13	$31.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $44.20 / $124.38	Facility		$22.72	$44.20	$124.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.85 / $33.03	Professional		$14.45	$16.85	$33.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.51 / $44.41 / $46.24	Facility		$32.51	$44.41	$46.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $44.41 / $62.85	Professional		$32.51	$44.41	$62.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $58.02 / $66.15	Professional		$24.08	$58.02	$66.15
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $16.85 / $28.90	Professional		$10.11	$16.85	$28.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $24.08 / $24.08	Professional		$24.08	$24.08	$24.08