Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $155.01 / $217.23	Facility		$12.50	$155.01	$217.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $21.53 / $26.85	Professional		$5.13	$21.53	$26.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $21.31 / $26.20	Professional		$20.96	$21.31	$26.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $30.32 / $58.09	Facility		$12.62	$30.32	$58.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $21.20 / $23.32	Professional		$20.58	$21.20	$23.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $24.95 / $25.44	Facility		$13.02	$24.95	$25.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $23.87 / $32.15	Professional		$6.92	$23.87	$32.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $23.33 / $23.33	Professional		$2.72	$23.33	$23.33
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $23.44	Professional		$21.31	$21.31	$23.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Facility		$21.20	$21.20	$21.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Professional		$21.20	$21.20	$21.20