Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $27.03 / $27.03	Facility		$27.03	$27.03	$27.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $79.98	Professional		$25.00	$25.00	$79.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $50.98 / $62.81	Professional		$41.76	$50.98	$62.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $51.48 / $91.29	Facility		$35.90	$51.48	$91.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $53.10 / $1,180.70	Professional		$29.21	$53.10	$1,180.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $60.03 / $81.84	Facility		$48.31	$60.03	$81.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $61.69 / $88.28	Professional		$40.90	$61.69	$88.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $46.34 / $63.71	Professional		$33.15	$46.34	$63.71
United Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $48.62 / $57.31	Professional		$31.86	$48.62	$57.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.90 / $61.20	Professional		$50.00	$58.90	$61.20