Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $112.14 / $167.40	Professional		$15.95	$112.14	$167.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $42.00 / $61.20	Professional		$30.98	$42.00	$61.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $35.85 / $84.77	Facility		$26.90	$35.85	$84.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $45.18 / $143.78	Professional		$15.67	$45.18	$143.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $46.90 / $76.25	Facility		$29.20	$46.90	$76.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $43.67 / $55.84	Professional		$37.00	$43.67	$55.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $43.11 / $52.80	Professional		$37.47	$43.11	$52.80
United Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $15.67 / $65.16	Professional		$14.38	$15.67	$65.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $52.30 / $54.40	Professional		$44.50	$52.30	$54.40