Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $76.51 / $95.64	Professional		$48.40	$76.51	$95.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $71.20 / $200.12	Facility		$60.25	$71.20	$200.12
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 $50.56 / $70.03 / $78.19	Facility		$50.56	$70.03	$78.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $78.19 / $110.19	Professional		$50.59	$78.19	$110.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $101.50 / $115.74	Professional		$42.13	$101.50	$115.74
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $25.33 / $50.56	Professional		$17.69	$25.33	$50.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13