Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $156.38 / $251.64	Facility		$30.17	$156.38	$251.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $30.17 / $33.11	Professional		$27.64	$30.17	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.17 / $37.50	Professional		$30.00	$30.17	$37.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $46.24 / $74.97	Facility		$36.90	$46.24	$74.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $27.36 / $30.17	Professional		$27.36	$27.36	$30.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $36.90 / $57.20	Facility		$32.83	$36.90	$57.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $35.40 / $57.20	Professional		$23.43	$35.40	$57.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $33.01 / $33.01	Professional		$33.01	$33.01	$33.01
United Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $30.17 / $33.19	Professional		$25.64	$30.17	$33.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $27.36 / $27.36	Facility		$27.36	$27.36	$27.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $27.36 / $27.36	Professional		$27.36	$27.36	$27.36