Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $41.35 / $41.35	Facility		$41.35	$41.35	$41.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $41.35 / $41.35	Professional		$29.47	$41.35	$41.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.48 / $87.48 / $87.48	Facility		$87.48	$87.48	$87.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $79.64 / $99.55	Professional		$50.39	$79.64	$99.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $70.52 / $379.10	Facility		$42.14	$70.52	$379.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $39.59 / $90.51	Professional		$26.39	$39.59	$90.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $89.63 / $137.91	Facility		$56.77	$89.63	$137.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $97.00 / $126.02	Professional		$56.77	$97.00	$126.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $105.99 / $120.85	Professional		$71.83	$105.99	$120.85
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $39.59 / $52.79	Professional		$18.48	$39.59	$52.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Professional		$43.99	$43.99	$43.99