Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Facility		$49.95	$49.95	$49.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $81.31	Professional		$49.95	$49.95	$81.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $54.83 / $68.53	Professional		$54.83	$54.83	$68.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $113.57 / $184.13	Facility		$33.22	$113.57	$184.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $67.20 / $73.92	Professional		$49.95	$67.20	$73.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $80.64 / $87.85	Facility		$48.87	$80.64	$87.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $71.70 / $91.22	Professional		$46.89	$71.70	$91.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $54.66 / $54.66	Professional		$54.66	$54.66	$54.66
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $54.95	Professional		$49.95	$49.95	$54.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Facility		$67.20	$67.20	$67.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Professional		$67.20	$67.20	$67.20