Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Facility		$25.33	$25.33	$25.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $144.56	Professional		$25.33	$25.33	$144.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $25.43 / $31.78	Professional		$25.43	$25.43	$31.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $201.90 / $518.16	Facility		$33.65	$201.90	$518.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $119.47 / $133.00	Professional		$25.33	$119.47	$133.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $64.89 / $571.40	Facility		$29.97	$64.89	$571.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $320.52 / $571.40	Professional		$42.27	$320.52	$571.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $27.72 / $33.47	Professional		$27.72	$27.72	$33.47
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $28.20	Professional		$25.33	$25.33	$28.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $119.47 / $119.47 / $119.47	Facility		$119.47	$119.47	$119.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $119.47 / $119.47 / $119.47	Professional		$119.47	$119.47	$119.47