Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.01 / $48.01 / $48.01	Facility		$48.01	$48.01	$48.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $48.01 / $76.59	Professional		$34.22	$48.01	$76.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $101.84 / $101.84	Facility		$101.84	$101.84	$101.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $92.70 / $115.87	Professional		$73.31	$92.70	$115.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.21 / $57.83 / $98.39	Facility		$48.21	$57.83	$98.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $30.64 / $93.63	Professional		$26.05	$30.64	$93.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $93.63 / $113.49	Facility		$65.90	$93.63	$113.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $85.70 / $111.92	Professional		$61.28	$85.70	$111.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $123.04 / $140.30	Professional		$73.03	$123.04	$140.30
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $30.64 / $51.07	Professional		$21.45	$30.64	$51.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $51.07 / $51.07	Professional		$51.07	$51.07	$51.07