Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.87 / $69.87 / $69.87	Facility		$69.87	$69.87	$69.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $74.33 / $77.80	Professional		$57.98	$74.33	$77.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $148.19 / $148.19	Facility		$148.19	$148.19	$148.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $135.13 / $168.91	Professional		$106.86	$135.13	$168.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.16 / $84.16 / $136.44	Facility		$70.16	$84.16	$136.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $50.89 / $149.69	Professional		$44.60	$50.89	$149.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.92 / $161.66 / $204.03	Facility		$95.92	$161.66	$204.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $148.19 / $204.03	Professional		$89.20	$148.19	$204.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $179.08 / $204.20	Professional		$118.80	$179.08	$204.20
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $50.89 / $149.69	Professional		$31.22	$50.89	$149.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $74.33 / $74.33	Professional		$74.33	$74.33	$74.33