Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $38.17 / $44.90	Facility		$33.68	$38.17	$44.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $49.10 / $111.60	Professional		$34.29	$49.10	$111.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $47.08 / $111.60 / $111.60	Professional	25	$47.08	$111.60	$111.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $85.78 / $107.23	Professional		$79.86	$85.78	$107.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $61.26 / $99.33	Facility		$45.31	$61.26	$99.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $71.95 / $350.74	Professional		$42.38	$71.95	$350.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $71.75 / $97.84	Facility		$58.83	$71.75	$97.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $71.75 / $92.80	Professional		$48.00	$71.75	$92.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $80.29 / $94.45	Professional		$47.20	$80.29	$94.45
United Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $72.87 / $97.86	Professional		$42.38	$72.87	$97.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $80.40 / $82.90	Professional		$80.40	$80.40	$82.90