Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $63.18 / $63.18	Facility		$63.18	$63.18	$63.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $63.18 / $63.18	Professional		$45.03	$63.18	$63.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $133.82 / $133.82	Facility		$133.82	$133.82	$133.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $122.07 / $152.59	Professional		$77.23	$122.07	$152.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.39 / $107.76 / $319.25	Facility		$64.39	$107.76	$319.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $60.49 / $138.30	Professional		$40.33	$60.49	$138.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.73 / $136.94 / $210.70	Facility		$86.73	$136.94	$210.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $149.00 / $192.57	Professional		$86.73	$149.00	$192.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $161.93 / $184.64	Professional		$109.76	$161.93	$184.64
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $47.02 / $80.65	Professional		$28.23	$47.02	$80.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Professional		$67.20	$67.20	$67.20