Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.77 / $238.24 / $380.00	Facility		$55.77	$238.24	$380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $28.42 / $135.90	Professional		$11.31	$28.42	$135.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $71.56 / $131.72	Professional		$20.35	$71.56	$131.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $46.27 / $140.12	Facility		$11.31	$46.27	$140.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $91.30 / $188.47	Professional		$43.87	$91.30	$188.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $94.15 / $121.02	Facility		$22.72	$94.15	$121.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $67.36 / $103.52	Professional		$22.72	$67.36	$103.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $56.37 / $97.04	Professional		$17.36	$56.37	$97.04
United Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $91.30 / $107.42	Professional		$43.87	$91.30	$107.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $22.10 / $91.90	Professional		$17.00	$22.10	$91.90