Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $40.79 / $40.79	Facility		$34.45	$40.79	$40.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $34.45 / $56.96	Professional		$28.02	$34.45	$56.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $88.04 / $110.05	Professional		$64.00	$88.04	$110.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $43.29 / $66.77	Facility		$24.53	$43.29	$66.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $72.31 / $241.20	Professional		$34.04	$72.31	$241.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.48 / $82.98 / $98.79	Facility		$62.48	$82.98	$98.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $85.14 / $102.09	Professional		$70.61	$85.14	$102.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $59.62 / $73.75	Professional		$37.65	$59.62	$73.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $77.94 / $109.62	Professional		$46.76	$77.94	$109.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $74.80 / $87.90	Professional		$71.90	$74.80	$87.90