Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $53.62 / $53.62	Facility		$53.62	$53.62	$53.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $77.00 / $98.89	Professional		$28.52	$77.00	$98.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.59 / $113.59 / $113.59	Facility		$113.59	$113.59	$113.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $103.14 / $128.93	Professional		$81.56	$103.14	$128.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.84 / $64.59 / $148.24	Facility		$53.84	$64.59	$148.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $34.22 / $104.58	Professional		$29.09	$34.22	$104.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $104.58 / $126.75	Facility		$73.61	$104.58	$126.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $104.58 / $125.02	Professional		$68.45	$104.58	$125.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $137.43 / $156.69	Professional		$81.56	$137.43	$156.69
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $29.09 / $51.34	Professional		$23.96	$29.09	$51.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Professional		$57.04	$57.04	$57.04