Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Facility		$46.32	$46.32	$46.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $63.82	Professional		$46.32	$46.32	$63.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $47.68 / $59.02	Professional		$47.21	$47.68	$59.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $89.13 / $106.86	Facility		$52.74	$89.13	$106.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $58.71 / $235.06	Professional		$52.74	$58.71	$235.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $79.04 / $96.98	Facility		$55.62	$79.04	$96.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $79.11 / $96.98	Professional		$55.62	$79.11	$96.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $50.69 / $50.69	Professional		$50.69	$50.69	$50.69
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $51.56	Professional		$46.32	$46.32	$51.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $57.72 / $57.72 / $57.72	Facility		$57.72	$57.72	$57.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $57.72 / $57.72	Professional		$57.72	$57.72	$57.72