Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.36 / $42.50 / $4,300.70	Facility		$41.36	$42.50	$4,300.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $41.20 / $89.10	Professional		$37.95	$41.20	$89.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $77.47 / $96.83	Professional		$62.87	$77.47	$96.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $53.10 / $89.64	Facility		$34.90	$53.10	$89.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $83.46 / $251.44	Professional		$40.46	$83.46	$251.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $89.78 / $98.74	Facility		$74.52	$89.78	$98.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $84.87 / $102.09	Professional		$77.55	$84.87	$102.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $61.04 / $74.80	Professional		$43.86	$61.04	$74.80
United Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $72.76 / $85.60	Professional		$40.46	$72.76	$85.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $90.60 / $92.30	Professional		$74.09	$90.60	$92.30