Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Facility		$49.03	$49.03	$49.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $49.03 / $58.59	Professional		$48.91	$49.03	$58.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Facility		$49.95	$49.95	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $62.25	Professional		$49.80	$49.80	$62.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $69.23 / $132.66	Facility		$41.60	$69.23	$132.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $48.42 / $53.26	Professional		$48.42	$48.42	$53.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $59.30 / $86.49	Facility		$43.64	$59.30	$86.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $56.89 / $74.12	Professional		$34.40	$56.89	$74.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $53.66 / $53.66	Professional		$49.06	$53.66	$53.66
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $53.93	Professional		$49.03	$49.03	$53.93
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $48.42 / $48.42	Facility		$48.42	$48.42	$48.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $48.42 / $48.42	Professional		$48.42	$48.42	$48.42