Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.33 / $41.33 / $41.33	Facility		$41.33	$41.33	$41.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $45.41 / $45.41	Professional		$41.33	$45.41	$45.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $60.00	Professional		$48.00	$48.00	$60.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $71.48 / $124.42	Facility		$57.17	$71.48	$124.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $74.61 / $260.01	Professional		$41.05	$74.61	$260.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.26 / $66.84 / $100.89	Facility		$54.26	$66.84	$100.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $66.84 / $100.04	Professional		$54.26	$66.84	$100.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $71.48 / $84.10	Professional		$49.96	$71.48	$84.10
United Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $73.98 / $87.05	Professional		$44.84	$73.98	$87.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $102.00 / $106.10	Professional		$86.70	$102.00	$106.10