Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Facility		$47.55	$47.55	$47.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $48.02 / $59.91	Professional		$47.55	$48.02	$59.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.97 / $56.97 / $56.97	Facility		$56.97	$56.97	$56.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $35.53 / $47.55	Professional		$28.43	$35.53	$47.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $73.14 / $118.59	Facility		$43.28	$73.14	$118.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $48.18 / $160.44	Professional		$43.28	$48.18	$160.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $51.93 / $81.52	Facility		$33.49	$51.93	$81.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $51.93 / $54.64	Professional		$33.49	$51.93	$54.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $48.58 / $48.58	Professional		$48.58	$48.58	$48.58
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $56.58	Professional		$47.55	$47.55	$56.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $43.28 / $43.28	Facility		$43.28	$43.28	$43.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $43.28 / $43.28	Professional		$43.28	$43.28	$43.28