Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $60.34 / $60.34	Facility		$60.34	$60.34	$60.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $60.34 / $60.34	Professional		$43.01	$60.34	$60.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.95 / $127.95 / $127.95	Facility		$127.95	$127.95	$127.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $116.20 / $145.25	Professional		$74.25	$116.20	$145.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $72.69 / $304.89	Facility		$60.59	$72.69	$304.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $57.77 / $96.29	Professional		$32.74	$57.77	$96.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.03 / $117.38 / $126.33	Facility		$77.03	$117.38	$126.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $126.33 / $167.54	Professional		$77.09	$126.33	$167.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $154.65 / $176.34	Professional		$64.19	$154.65	$176.34
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $57.77 / $64.19	Professional		$26.96	$57.77	$64.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $64.19 / $64.19	Professional		$64.19	$64.19	$64.19