Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Facility		$39.45	$39.45	$39.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $48.86	Professional		$39.45	$39.45	$48.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $39.45 / $41.34	Professional		$33.08	$39.45	$41.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $72.56 / $194.96	Facility		$57.74	$72.56	$194.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $40.38 / $44.42	Professional		$32.47	$40.38	$44.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $48.46 / $79.70	Facility		$38.97	$48.46	$79.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $69.61 / $158.32	Professional		$43.37	$69.61	$158.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $43.16 / $43.16	Professional		$43.16	$43.16	$43.16
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $43.40	Professional		$39.45	$39.45	$43.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $40.38 / $40.38 / $40.38	Facility		$40.38	$40.38	$40.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $40.38 / $40.38	Professional		$40.38	$40.38	$40.38