Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $109.65	Facility		$53.70	$53.70	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $93.33	Professional		$53.70	$53.70	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $69.18	Professional		$54.95	$54.95	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $93.33 / $151.36	Facility		$61.66	$93.33	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $56.23	Professional		$47.86	$54.95	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $66.07	Professional		$60.26	$60.26	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $74.13	Professional		$54.95	$54.95	$74.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95