Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $34.11 / $34.11	Facility		$34.11	$34.11	$34.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $37.18 / $62.70	Professional		$34.11	$37.18	$62.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $76.79 / $95.99	Professional		$62.80	$76.79	$95.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.85 / $50.56 / $122.41	Facility		$42.85	$50.56	$122.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $59.68 / $787.00	Professional		$38.86	$59.68	$787.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $73.55 / $113.46	Facility		$63.37	$73.55	$113.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $72.81 / $140.00	Professional		$63.92	$72.81	$140.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $54.99 / $64.69	Professional		$39.90	$54.99	$64.69
United Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $58.30 / $73.09	Professional		$38.86	$58.30	$73.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $69.80 / $69.80	Professional		$59.30	$69.80	$69.80