Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.83 / $57.83 / $57.83	Facility		$57.83	$57.83	$57.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $47.99 / $57.83	Professional		$41.22	$47.99	$57.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.73 / $122.73 / $122.73	Facility		$122.73	$122.73	$122.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $111.63 / $139.54	Professional		$88.28	$111.63	$139.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.06 / $69.66 / $140.19	Facility		$58.06	$69.66	$140.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $36.90 / $112.80	Professional		$31.38	$36.90	$112.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.38 / $112.80 / $136.72	Facility		$79.38	$112.80	$136.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $112.80 / $134.82	Professional		$73.81	$112.80	$134.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $148.22 / $169.01	Professional		$87.97	$148.22	$169.01
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $31.38 / $61.52	Professional		$25.84	$31.38	$61.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Professional		$61.52	$61.52	$61.52