Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $29.98	Facility		$29.98	$29.98	$29.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.28 / $36.29	Professional		$29.98	$30.28	$36.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $29.98 / $36.79	Professional		$29.44	$29.98	$36.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $50.70 / $60.00	Facility		$30.00	$50.70	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.40 / $127.20	Professional		$30.00	$33.40	$127.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $37.45 / $47.67	Facility		$34.57	$37.45	$47.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $41.53 / $45.00	Professional		$34.68	$41.53	$45.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $32.79 / $32.79	Professional		$32.79	$32.79	$32.79
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $33.36	Professional		$29.98	$29.98	$33.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $32.83 / $32.83	Facility		$32.83	$32.83	$32.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $32.83 / $32.83	Professional		$32.83	$32.83	$32.83