Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.61 / $80.91 / $163.74	Facility		$55.61	$80.91	$163.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $17.32 / $92.56	Professional		$12.48	$17.32	$92.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $41.78 / $52.22	Professional		$26.43	$41.78	$52.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $26.01 / $109.33	Facility		$21.68	$26.01	$109.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $13.78 / $27.56	Professional		$11.71	$13.78	$27.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $40.20 / $46.81	Facility		$27.56	$40.20	$46.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $38.54 / $46.81	Professional		$27.56	$38.54	$46.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $55.34 / $63.10	Professional		$22.97	$55.34	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $13.78 / $27.56	Professional		$9.65	$13.78	$27.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97