Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $75.55 / $75.55	Professional		$53.85	$75.55	$75.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $159.94 / $159.94	Facility		$159.94	$159.94	$159.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $145.57 / $181.97	Professional		$92.10	$145.57	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.01 / $128.80 / $381.76	Facility		$77.01	$128.80	$381.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $72.33 / $153.96	Professional		$48.22	$72.33	$153.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $163.75 / $251.96	Facility		$103.71	$163.75	$251.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $136.72 / $219.46	Professional		$103.71	$136.72	$219.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $187.67 / $220.79	Professional		$80.37	$187.67	$220.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $56.21 / $96.44	Professional		$33.76	$56.21	$96.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Professional		$80.37	$80.37	$80.37