Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $58.59 / $75.53	Professional		$54.47	$58.59	$75.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $97.50	Professional		$78.00	$78.00	$97.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.59 / $77.34 / $127.65	Facility		$56.59	$77.34	$127.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $34.90 / $426.48	Professional		$30.82	$34.90	$426.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $76.95 / $136.40	Facility		$73.00	$76.95	$136.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $65.93 / $69.66	Professional		$63.01	$65.93	$69.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $77.34 / $97.25	Professional		$64.52	$77.34	$97.25
United Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $30.82 / $64.31	Professional		$26.20	$30.82	$64.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $62.96 / $62.96	Professional		$62.96	$62.96	$62.96