Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Facility		$42.90	$42.90	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $48.04	Professional		$42.90	$42.90	$48.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $47.11 / $53.44	Professional		$42.75	$47.11	$53.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.35 / $72.50 / $117.55	Facility		$61.35	$72.50	$117.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $55.52 / $55.52	Professional		$46.26	$55.52	$55.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.94 / $79.95 / $87.93	Facility		$75.94	$79.95	$87.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.62 / $82.88 / $108.75	Professional		$63.62	$82.88	$108.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $55.52 / $57.03	Professional		$50.47	$55.52	$57.03