Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $54.98 / $54.98	Facility		$54.98	$54.98	$54.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $45.62 / $54.98	Professional		$29.25	$45.62	$54.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.85 / $116.85 / $116.85	Facility		$116.85	$116.85	$116.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $106.41 / $133.01	Professional		$84.15	$106.41	$133.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $66.23 / $140.19	Facility		$55.20	$66.23	$140.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $35.09 / $107.25	Professional		$29.83	$35.09	$107.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $107.25 / $129.99	Facility		$75.48	$107.25	$129.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $107.25 / $128.18	Professional		$70.19	$107.25	$128.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $140.91 / $160.68	Professional		$83.64	$140.91	$160.68
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $29.83 / $58.49	Professional		$24.57	$29.83	$58.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $58.49 / $58.49	Professional		$58.49	$58.49	$58.49