Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $48.96 / $16,447.16	Facility		$48.96	$48.96	$16,447.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $49.45 / $58.12	Professional		$48.96	$49.45	$58.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $49.88 / $49.88	Facility		$49.88	$49.88	$49.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $61.59	Professional		$49.28	$49.28	$61.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.81 / $70.30 / $131.60	Facility		$58.81	$70.30	$131.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $53.79 / $54.15	Professional		$48.03	$53.79	$54.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.09 / $58.81 / $85.77	Facility		$46.09	$58.81	$85.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $56.42 / $73.51	Professional		$46.09	$56.42	$73.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $53.58 / $74.95	Professional		$48.72	$53.58	$74.95
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $54.84	Professional		$48.96	$48.96	$54.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $48.03 / $48.03	Facility		$48.03	$48.03	$48.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $48.03 / $48.03	Professional		$48.03	$48.03	$48.03