Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $52.54 / $52.54	Facility		$52.54	$52.54	$52.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $52.54 / $52.54	Professional		$37.45	$52.54	$52.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.63 / $111.63 / $111.63	Facility		$111.63	$111.63	$111.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $101.84 / $127.30	Professional		$64.43	$101.84	$127.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $89.60 / $265.48	Facility		$53.55	$89.60	$265.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $50.30 / $114.99	Professional		$33.53	$50.30	$114.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $113.85 / $175.22	Facility		$72.12	$113.85	$175.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $117.82 / $152.94	Professional		$72.12	$117.82	$152.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $130.51 / $153.54	Professional		$91.26	$130.51	$153.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $50.30 / $67.06	Professional		$23.47	$50.30	$67.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $55.89 / $55.89	Professional		$55.89	$55.89	$55.89