Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $58.38 / $58.38	Facility		$58.38	$58.38	$58.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $58.38 / $58.38	Professional		$48.46	$58.38	$58.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $49.62 / $51.28	Professional		$41.03	$49.62	$51.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $66.78 / $143.96	Facility		$27.17	$66.78	$143.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $48.65 / $53.52	Professional		$22.64	$48.65	$53.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $49.80 / $63.18	Facility		$27.17	$49.80	$63.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $48.54 / $65.01	Professional		$25.77	$48.54	$65.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $48.65	Professional		$48.65	$48.65	$48.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $48.65 / $48.65	Facility		$48.65	$48.65	$48.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $48.65	Professional		$48.65	$48.65	$48.65