Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.93 / $47.93 / $63.43	Facility		$47.93	$47.93	$63.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $55.00 / $68.40	Professional		$46.74	$55.00	$68.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $98.41 / $141.44	Professional		$58.90	$98.41	$141.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.46 / $83.64 / $109.82	Facility		$54.46	$83.64	$109.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $116.48 / $402.01	Professional		$67.25	$116.48	$402.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $97.73 / $127.38	Facility		$67.45	$97.73	$127.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $93.49 / $122.50	Professional		$65.88	$93.49	$122.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $90.19 / $120.97	Professional		$67.64	$90.19	$120.97
United Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $96.82 / $126.18	Professional		$61.14	$96.82	$126.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $84.00 / $111.30	Professional		$80.70	$84.00	$111.30