Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.97 / $48.97 / $48.97	Facility		$48.97	$48.97	$48.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $48.97 / $53.54	Professional		$40.71	$48.97	$53.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $68.44 / $68.44	Professional		$54.75	$68.44	$68.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $53.54 / $91.21	Facility		$40.71	$53.54	$91.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $92.35 / $332.57	Professional		$59.75	$92.35	$332.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.67 / $87.69 / $116.77	Facility		$63.67	$87.69	$116.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $88.86 / $134.76	Professional		$71.81	$88.86	$134.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $71.38 / $95.74	Professional		$57.45	$71.38	$95.74
United Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $92.35 / $108.64	Professional		$59.75	$92.35	$108.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $72.09 / $72.09	Professional		$59.50	$72.09	$72.09