Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.33 / $69.33 / $828.57	Facility		$69.33	$69.33	$828.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $63.29 / $72.50	Professional		$57.53	$63.29	$72.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $69.38 / $86.72	Professional		$69.38	$69.38	$86.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $101.40 / $164.40	Facility		$66.67	$101.40	$164.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $57.78 / $63.56	Professional		$55.56	$57.78	$63.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,770.00 / $4,770.00 / $5,565.00	Facility		$4,770.00	$4,770.00	$5,565.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $66.66 / $66.66	Professional		$66.66	$66.66	$66.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $63.56	Professional		$57.78	$57.78	$63.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $55.56 / $55.56	Professional		$55.56	$55.56	$55.56