Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.93 / $47.93 / $47.93	Facility		$47.93	$47.93	$47.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $47.93 / $52.77	Professional		$39.89	$47.93	$52.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $67.03 / $67.03	Professional		$53.63	$67.03	$67.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $52.77 / $89.51	Facility		$39.89	$52.77	$89.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $92.35 / $336.96	Professional		$59.75	$92.35	$336.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.37 / $87.64 / $114.43	Facility		$62.37	$87.64	$114.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $88.87 / $134.68	Professional		$70.34	$88.87	$134.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $69.93 / $93.80	Professional		$56.28	$69.93	$93.80
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 $58.30 / $70.70 / $70.70	Professional		$58.30	$70.70	$70.70