Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $263.03 / $912.01	Facility		$28.84	$263.03	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $57.54	Professional		$25.12	$36.31	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $141.25	Professional		$54.95	$70.79	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $63.10 / $144.54	Facility		$37.15	$63.10	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $316.23	Professional		$41.69	$46.77	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $85.11	Professional		$32.36	$47.86	$85.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $58.88	Professional		$32.36	$32.36	$58.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $100.00	Professional		$43.65	$70.79	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $72.44	Professional		$22.91	$41.69	$72.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $83.18	Professional		$33.11	$41.69	$83.18