Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $64.44 / $64.44	Facility		$64.44	$64.44	$64.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $53.47 / $64.44	Professional		$45.93	$53.47	$64.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $136.44 / $136.44	Facility		$136.44	$136.44	$136.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $124.68 / $155.86	Professional		$98.60	$124.68	$155.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.69 / $77.62 / $125.85	Facility		$64.69	$77.62	$125.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $41.13 / $125.69	Professional		$30.54	$41.13	$125.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.46 / $121.94 / $150.24	Facility		$88.46	$121.94	$150.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $118.12 / $141.21	Professional		$82.26	$118.12	$141.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $160.07 / $188.32	Professional		$71.28	$160.07	$188.32
United Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $41.13 / $89.82	Professional		$28.79	$41.13	$89.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $68.55 / $68.55	Professional		$68.55	$68.55	$68.55