Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $109.65	Facility		$54.95	$54.95	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $93.33	Professional		$54.95	$54.95	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $70.79	Professional		$56.23	$56.23	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $234.42	Facility		$54.95	$79.43	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $61.66	Professional		$46.77	$54.95	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $66.07	Professional		$57.54	$64.57	$66.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $63.10	Professional		$38.90	$54.95	$63.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $60.26	Professional		$54.95	$54.95	$60.26