Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $41.03 / $41.03	Facility		$41.03	$41.03	$41.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $34.04 / $41.03	Professional		$29.25	$34.04	$41.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.82 / $86.82 / $86.82	Facility		$86.82	$86.82	$86.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $79.64 / $99.55	Professional		$62.98	$79.64	$99.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $49.43 / $80.15	Facility		$41.20	$49.43	$80.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $30.54 / $89.82	Professional		$26.19	$30.54	$89.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.33 / $95.66 / $122.40	Facility		$56.33	$95.66	$122.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $88.93 / $122.40	Professional		$52.38	$88.93	$122.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $105.17 / $119.92	Professional		$71.28	$105.17	$119.92
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $26.19 / $43.65	Professional		$18.32	$26.19	$43.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65