Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.02 / $78.02 / $78.02	Facility		$78.02	$78.02	$78.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $64.73 / $78.02	Professional		$55.61	$64.73	$78.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.16 / $165.16 / $165.16	Facility		$165.16	$165.16	$165.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $150.80 / $188.50	Professional		$119.25	$150.80	$188.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $93.98 / $181.51	Facility		$78.34	$93.98	$181.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $49.80 / $152.18	Professional		$42.65	$49.80	$152.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $152.18 / $181.90	Facility		$107.10	$152.18	$181.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $139.28 / $181.90	Professional		$99.60	$139.28	$181.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $199.97 / $228.02	Professional		$118.69	$199.97	$228.02
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $42.65 / $83.00	Professional		$34.86	$42.65	$83.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Professional		$83.00	$83.00	$83.00