Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $50.12	Facility		$23.99	$23.99	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $42.66	Professional		$23.99	$23.99	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $31.62	Professional		$25.12	$25.12	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $64.57	Facility		$23.44	$37.15	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.30 / $562.34	Professional		$23.44	$26.30	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $35.48	Professional		$29.51	$32.36	$35.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $234.42	Professional		$26.92	$26.92	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $30.20	Professional		$25.12	$27.54	$30.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54