Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.55 / $49.55 / $49.55	Facility		$49.55	$49.55	$49.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $49.55 / $49.55	Professional		$49.55	$49.55	$49.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $95.96 / $119.95	Professional		$61.32	$95.96	$119.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $59.69 / $250.37	Facility		$49.75	$59.69	$250.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $47.44 / $79.06	Professional		$26.88	$47.44	$79.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.25 / $92.24 / $103.73	Facility		$63.25	$92.24	$103.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $98.22 / $115.52	Professional		$63.25	$98.22	$115.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $126.99 / $144.80	Professional		$52.71	$126.99	$144.80
United Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $31.63 / $52.71	Professional		$22.14	$31.63	$52.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $52.71	Professional		$52.71	$52.71	$52.71