Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $49.12 / $101.93	Professional		$39.90	$49.12	$101.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.00 / $23.55 / $57.41	Professional	52	$20.00	$23.55	$57.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $84.67 / $128.46	Professional		$43.60	$84.67	$128.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $69.17 / $259.85	Professional		$33.13	$69.17	$259.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $69.78 / $91.63	Professional		$42.83	$69.78	$91.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $54.22 / $89.88	Professional		$37.93	$54.22	$89.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $48.73 / $81.38	Professional		$33.13	$48.73	$81.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $82.30 / $85.60	Professional		$65.50	$82.30	$85.60