Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $53.70	Facility		$43.65	$43.65	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $53.70	Professional		$30.90	$34.67	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $112.20	Professional		$66.07	$91.20	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $45.71 / $87.10	Facility		$44.67	$45.71	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $234.42	Professional		$23.99	$28.18	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $128.82	Professional		$67.61	$109.65	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $53.70	Professional		$19.95	$28.18	$53.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77