Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $29.13 / $29.13	Facility		$29.13	$29.13	$29.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.51 / $98.70	Professional		$14.00	$14.51	$98.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $65.75 / $82.67	Professional		$65.09	$65.75	$82.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $29.13 / $43.70	Facility		$14.00	$29.13	$43.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $123.26 / $222.35	Professional		$58.18	$123.26	$222.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $61.35	Facility		$52.17	$52.17	$61.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Professional		$52.17	$52.17	$52.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $28.53 / $28.53	Professional		$28.53	$28.53	$28.53
United Facility/Professional Professional Modifier Low / Median / High Price $43.63 / $92.06 / $109.08	Professional		$43.63	$92.06	$109.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $38.20 / $38.20	Professional		$38.20	$38.20	$38.20