Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Professional		$42.13	$42.13	$46.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $93.42 / $116.77	Professional		$59.10	$93.42	$116.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $71.20 / $244.29	Facility		$60.25	$71.20	$244.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $38.00 / $62.99	Professional		$21.41	$38.00	$62.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.48 / $70.03 / $75.45	Facility		$54.48	$70.03	$75.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $75.45 / $110.19	Professional		$58.21	$75.45	$110.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $123.91 / $141.29	Professional		$51.43	$123.91	$141.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $38.00 / $61.72	Professional		$21.41	$38.00	$61.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $51.43 / $51.43	Professional		$51.43	$51.43	$51.43