Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.54 / $48.54 / $48.54	Facility		$48.54	$48.54	$48.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $55.88 / $77.45	Professional		$27.37	$55.88	$77.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.14 / $103.14 / $103.14	Facility		$103.14	$103.14	$103.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $94.00 / $117.50	Professional		$59.47	$94.00	$117.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.48 / $82.79 / $757.56	Facility		$49.48	$82.79	$757.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $46.48 / $106.25	Professional		$30.98	$46.48	$106.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $105.20 / $161.88	Facility		$66.64	$105.20	$161.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $114.00 / $147.94	Professional		$66.64	$114.00	$147.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.32 / $120.58 / $141.87	Professional		$84.32	$120.58	$141.87
United Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $36.11 / $68.16	Professional		$21.69	$36.11	$68.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $51.64 / $51.64	Professional		$51.64	$51.64	$51.64