Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $47.47 / $47.47	Facility		$47.47	$47.47	$47.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $26.77 / $47.47	Professional		$26.77	$26.77	$47.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.53 / $100.53 / $100.53	Facility		$100.53	$100.53	$100.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $91.39 / $114.24	Professional		$57.82	$91.39	$114.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $80.95 / $239.88	Facility		$48.39	$80.95	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $45.45 / $103.91	Professional		$30.30	$45.45	$103.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.16 / $102.88 / $158.32	Facility		$65.16	$102.88	$158.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $102.88 / $138.55	Professional		$65.16	$102.88	$138.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $117.92 / $138.72	Professional		$75.68	$117.92	$138.72
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $35.33 / $60.60	Professional		$21.21	$35.33	$60.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Professional		$50.50	$50.50	$50.50