Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $54.21 / $150.00	Professional		$50.91	$54.21	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $93.75	Professional		$75.00	$75.00	$93.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $65.81 / $108.63	Facility		$50.91	$65.81	$108.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $31.40 / $397.30	Professional		$26.22	$31.40	$397.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $69.20 / $122.69	Facility		$64.00	$69.20	$122.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $56.69 / $62.67	Professional		$56.11	$56.69	$62.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $65.81 / $82.76	Professional		$54.90	$65.81	$82.76
United Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $26.22 / $54.73	Professional		$24.25	$26.22	$54.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $56.63 / $56.63	Professional		$56.63	$56.63	$56.63