Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $120.23	Facility		$57.54	$57.54	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $51.29 / $61.66	Professional		$19.95	$51.29	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $67.61	Professional		$53.70	$66.07	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $61.66 / $141.25	Facility		$38.02	$61.66	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $165.96	Professional		$25.12	$44.67	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $93.33	Professional		$70.79	$77.62	$93.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $58.88 / $66.07	Professional		$31.62	$58.88	$66.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $77.62 / $120.23	Professional		$33.11	$77.62	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $47.86 / $95.50	Professional		$25.12	$47.86	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $100.00	Professional		$77.62	$85.11	$100.00