Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $41.66 / $41.66	Facility		$41.66	$41.66	$41.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $41.66 / $41.66	Professional		$34.58	$41.66	$41.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $34.09 / $42.19	Professional		$33.75	$34.09	$42.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $53.59 / $102.72	Facility		$3.49	$53.59	$102.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $34.72 / $38.19	Professional		$2.91	$34.72	$38.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.75 / $5.53	Facility		$3.49	$3.75	$5.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $5.53 / $41.70	Professional		$3.49	$5.53	$41.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $38.19	Professional		$34.72	$34.72	$38.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Facility		$34.72	$34.72	$34.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72