Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Facility		$56.40	$56.40	$56.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $56.40 / $56.40	Professional		$40.20	$56.40	$56.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.46 / $119.46 / $119.46	Facility		$119.46	$119.46	$119.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $109.02 / $136.27	Professional		$68.97	$109.02	$136.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $63.52 / $285.00	Facility		$26.86	$63.52	$285.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $36.00 / $72.00	Professional		$11.72	$36.00	$72.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $78.31 / $110.01	Facility		$31.01	$78.31	$110.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $46.55 / $156.60	Professional		$25.33	$46.55	$156.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $140.11 / $164.83	Professional		$33.69	$140.11	$164.83
United Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $25.20 / $60.00	Professional		$11.72	$25.20	$60.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00