Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $47.53 / $47.53	Facility		$47.53	$47.53	$47.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.00 / $59.88	Professional		$47.53	$48.00	$59.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.41 / $48.41 / $48.41	Facility		$48.41	$48.41	$48.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $61.22	Professional		$48.98	$48.98	$61.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $81.76 / $132.56	Facility		$59.16	$81.76	$132.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $54.19 / $54.19	Professional		$47.53	$54.19	$54.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $59.16 / $86.28	Facility		$40.95	$59.16	$86.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $56.20 / $73.95	Professional		$38.35	$56.20	$73.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $97.90	Professional		$52.00	$52.00	$97.90
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $53.23 / $53.23	Professional		$47.53	$53.23	$53.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $48.38 / $48.38	Facility		$48.38	$48.38	$48.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $48.38 / $48.38	Professional		$48.38	$48.38	$48.38