Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $47.39 / $47.39	Facility		$47.39	$47.39	$47.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $47.39 / $47.39	Professional		$33.77	$47.39	$47.39
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 $48.29 / $80.81 / $239.45	Facility		$48.29	$80.81	$239.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $45.37 / $103.73	Professional		$30.25	$45.37	$103.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.05 / $102.70 / $158.04	Facility		$65.05	$102.70	$158.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $111.00 / $144.41	Professional		$65.05	$111.00	$144.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $117.71 / $138.49	Professional		$82.32	$117.71	$138.49
United Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $35.27 / $60.49	Professional		$21.17	$35.27	$60.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $50.41 / $50.41	Professional		$50.41	$50.41	$50.41