Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $73.56 / $73.56	Facility		$73.56	$73.56	$73.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $73.56 / $73.56	Professional		$52.43	$73.56	$73.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.02 / $156.02 / $156.02	Facility		$156.02	$156.02	$156.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $142.31 / $177.89	Professional		$90.03	$142.31	$177.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.97 / $96.39 / $386.85	Facility		$74.97	$96.39	$386.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $70.43 / $93.91	Professional		$29.82	$70.43	$93.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.99 / $159.44 / $216.62	Facility		$100.99	$159.44	$216.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $161.25 / $213.93	Professional		$64.45	$161.25	$213.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $182.74 / $215.00	Professional		$78.26	$182.74	$215.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $46.96 / $87.72	Professional		$29.82	$46.96	$87.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $78.26 / $78.26	Professional		$78.26	$78.26	$78.26