Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $17.94 / $43.84	Facility		$17.94	$17.94	$43.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $43.84 / $118.37	Professional		$17.01	$43.84	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $39.88 / $64.29	Professional		$19.88	$39.88	$64.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.31 / $40.61 / $74.12	Facility		$23.31	$40.61	$74.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $77.36 / $272.14	Professional		$39.29	$77.36	$272.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $67.29 / $103.84	Facility		$33.78	$67.29	$103.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $58.55 / $77.98	Professional		$26.44	$58.55	$77.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $54.49 / $82.36	Professional		$29.69	$54.49	$82.36
United Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $66.41 / $84.55	Professional		$37.11	$66.41	$84.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $30.90 / $76.80	Professional		$25.30	$30.90	$76.80