Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Facility		$53.08	$53.08	$53.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $64.23	Professional		$53.08	$53.08	$64.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $54.08 / $67.59	Professional		$54.08	$54.08	$67.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $91.79 / $280.91	Facility		$38.71	$91.79	$280.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $58.39	Professional		$53.08	$53.08	$58.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.69 / $65.66 / $92.89	Facility		$63.69	$65.66	$92.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $63.38 / $79.62	Professional		$60.42	$63.38	$79.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $60.14	Professional		$53.08	$53.08	$60.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Facility		$53.08	$53.08	$53.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08