Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $26.65 / $38.85	Facility		$26.65	$26.65	$38.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $33.18 / $91.80	Professional		$23.91	$33.18	$91.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.33 / $15.92 / $21.00	Professional	52	$13.33	$15.92	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $42.06 / $54.77	Professional		$29.25	$42.06	$54.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $52.58 / $78.64	Facility		$31.25	$52.58	$78.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $70.13 / $245.75	Professional		$38.74	$70.13	$245.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.11 / $61.98 / $89.62	Facility		$43.11	$61.98	$89.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $51.75 / $72.84	Professional		$39.29	$51.75	$72.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $52.40 / $75.69	Professional		$39.07	$52.40	$75.69
United Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $64.65 / $81.81	Professional		$34.65	$64.65	$81.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $63.60 / $91.90	Professional		$52.00	$63.60	$91.90