Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $23.88 / $23.88	Facility		$23.88	$23.88	$23.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $35.82	Professional		$23.88	$23.88	$35.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $28.52 / $35.29	Professional		$28.24	$28.52	$35.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $50.02 / $310.48	Facility		$29.60	$50.02	$310.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $32.95 / $1,372.11	Professional		$29.60	$32.95	$1,372.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $65.26 / $91.23	Facility		$33.22	$65.26	$91.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $49.42 / $73.38	Professional		$33.22	$49.42	$73.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $26.13 / $366.32	Professional		$26.13	$26.13	$366.32
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $28.42	Professional		$23.88	$23.88	$28.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $32.39 / $32.39	Facility		$32.39	$32.39	$32.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $32.39 / $32.39	Professional		$32.39	$32.39	$32.39