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 / $49.65 / $77.14	Professional		$42.13	$49.65	$77.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $93.42 / $116.77	Professional		$59.10	$93.42	$116.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $71.20 / $244.29	Facility		$60.25	$71.20	$244.29
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 $54.48 / $70.03 / $78.19	Facility		$54.48	$70.03	$78.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $78.19 / $110.19	Professional		$55.97	$78.19	$110.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $123.91 / $141.29	Professional		$105.32	$123.91	$141.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $38.00 / $62.99	Professional		$21.41	$38.00	$62.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Professional		$42.60	$42.60	$42.60