Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.28 / $39.28 / $64.40	Facility		$39.28	$39.28	$64.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $60.31 / $70.77	Professional		$39.28	$60.31	$70.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $67.34 / $91.44	Professional		$43.13	$67.34	$91.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $79.90 / $126.43	Facility		$48.17	$79.90	$126.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $119.43 / $411.10	Professional		$69.02	$119.43	$411.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.02 / $93.17 / $149.97	Facility		$69.02	$93.17	$149.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $89.90 / $117.90	Professional		$62.60	$89.90	$117.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $80.44 / $120.23	Professional		$63.75	$80.44	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $96.87 / $129.38	Professional		$57.37	$96.87	$129.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $66.40 / $109.00	Professional		$54.80	$66.40	$109.00