Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $58.25	Facility		$50.50	$50.50	$58.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $50.50 / $58.25	Professional		$41.06	$50.50	$58.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $112.44 / $138.41	Professional		$110.73	$112.44	$138.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.17 / $55.68 / $102.43	Facility		$43.17	$55.68	$102.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $109.75 / $369.98	Professional		$66.78	$109.75	$369.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $97.99 / $115.25	Facility		$68.84	$97.99	$115.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $101.00 / $115.25	Professional		$70.70	$101.00	$115.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $83.58 / $117.74	Professional		$58.94	$83.58	$117.74
United Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $102.43 / $127.49	Professional		$66.78	$102.43	$127.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $74.09 / $88.70	Professional		$61.20	$74.09	$88.70