Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Facility		$39.83	$39.83	$39.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $48.19	Professional		$39.83	$39.83	$48.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $40.61 / $50.77	Professional		$40.61	$40.61	$50.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $56.96 / $109.13	Facility		$45.60	$56.96	$109.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $43.81	Professional		$39.83	$39.83	$43.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.79 / $47.84 / $69.77	Facility		$47.79	$47.84	$69.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $47.93 / $103.54	Professional		$45.45	$47.93	$103.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $43.58 / $43.58	Professional		$43.58	$43.58	$43.58
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $43.81	Professional		$39.83	$39.83	$43.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Facility		$39.83	$39.83	$39.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83