Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $43.31 / $43.31	Facility		$43.31	$43.31	$43.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $43.31 / $43.31	Professional		$30.87	$43.31	$43.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.04 / $92.04 / $92.04	Facility		$92.04	$92.04	$92.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $83.56 / $104.45	Professional		$52.86	$83.56	$104.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.14 / $73.08 / $218.83	Facility		$44.14	$73.08	$218.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $41.46 / $94.80	Professional		$27.64	$41.46	$94.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.44 / $93.87 / $144.43	Facility		$59.44	$93.87	$144.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $102.00 / $132.01	Professional		$59.44	$102.00	$132.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $107.58 / $126.56	Professional		$50.78	$107.58	$126.56
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $32.22 / $55.28	Professional		$19.35	$32.22	$55.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $46.07 / $46.07	Professional		$46.07	$46.07	$46.07