Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Facility		$42.28	$42.28	$42.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $76.77 / $95.96	Professional		$48.57	$76.77	$95.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $71.45 / $200.83	Facility		$60.46	$71.45	$200.83
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 $50.74 / $70.03 / $75.45	Facility		$50.74	$70.03	$75.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $75.45 / $110.19	Professional		$50.78	$75.45	$110.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $101.87 / $116.15	Professional		$42.28	$101.87	$116.15
United Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $38.00 / $62.99	Professional		$17.76	$38.00	$62.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28