Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.21 / $52.21 / $52.21	Facility		$52.21	$52.21	$52.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $52.21 / $52.21	Professional		$37.21	$52.21	$52.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.98 / $110.98 / $110.98	Facility		$110.98	$110.98	$110.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $101.18 / $126.48	Professional		$64.02	$101.18	$126.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.21 / $227.21 / $537.29	Facility		$53.21	$227.21	$537.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $49.99 / $83.31	Professional		$28.33	$49.99	$83.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $101.84 / $105.74	Facility		$66.65	$101.84	$105.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $105.74 / $144.96	Professional		$66.70	$105.74	$144.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $133.81 / $152.58	Professional		$55.54	$133.81	$152.58
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $33.32 / $66.65	Professional		$23.33	$33.32	$66.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $55.54 / $55.54	Professional		$55.54	$55.54	$55.54