Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $105.60 / $249.29	Facility		$54.97	$105.60	$249.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $121.04 / $391.50	Professional		$48.28	$121.04	$391.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $61.74 / $86.20	Professional		$48.80	$61.74	$86.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $92.90 / $118.62	Facility		$36.50	$92.90	$118.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $100.58 / $345.93	Professional		$48.47	$100.58	$345.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.30 / $92.15 / $128.54	Facility		$68.30	$92.15	$128.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $88.36 / $105.80	Professional		$62.64	$88.36	$105.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $86.45 / $106.09	Professional		$54.90	$86.45	$106.09
United Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $99.75 / $121.18	Professional		$50.46	$99.75	$121.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $128.80 / $128.80	Professional		$105.20	$128.80	$128.80