Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.32 / $41.32 / $51.58	Facility		$41.32	$41.32	$51.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $51.58 / $75.62	Professional		$37.35	$51.58	$75.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $97.71 / $122.13	Professional		$67.70	$97.71	$122.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $64.14 / $110.41	Facility		$36.35	$64.14	$110.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $103.62 / $477.31	Professional		$49.80	$103.62	$477.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $84.31 / $99.59 / $122.78	Facility		$84.31	$99.59	$122.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $97.82 / $122.78	Professional		$75.00	$97.82	$122.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $68.97 / $93.99	Professional		$48.12	$68.97	$93.99
United Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $89.50 / $105.29	Professional		$49.80	$89.50	$105.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $93.90 / $116.70	Professional		$76.70	$93.90	$116.70