Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Facility		$21.23	$21.23	$21.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $24.80 / $26.74	Professional		$21.23	$24.80	$26.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $27.05 / $27.05	Professional		$21.64	$27.05	$27.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $35.88 / $58.17	Facility		$19.54	$35.88	$58.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $23.35	Professional		$21.23	$21.23	$23.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $26.99 / $37.15	Facility		$25.48	$26.99	$37.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $25.35 / $31.85	Professional		$24.20	$25.35	$31.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $23.35	Professional		$21.23	$21.23	$23.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Facility		$21.23	$21.23	$21.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23