Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $58.56 / $58.56	Facility		$58.56	$58.56	$58.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $44.67 / $61.18	Professional		$19.96	$44.67	$61.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $66.58 / $95.21	Professional		$53.26	$66.58	$95.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.63 / $60.29 / $128.40	Facility		$29.63	$60.29	$128.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $45.09 / $94.68	Professional		$25.13	$45.09	$94.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $70.68 / $97.74	Facility		$40.72	$70.68	$97.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $58.89 / $117.94	Professional		$32.42	$58.89	$117.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $77.27 / $120.97	Professional		$32.90	$77.27	$120.97
United Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $47.34 / $81.19	Professional		$25.13	$47.34	$81.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.90 / $84.70 / $99.70	Professional		$77.90	$84.70	$99.70