Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $41.60 / $41.60	Facility		$41.60	$41.60	$41.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $41.60 / $41.60	Professional		$29.65	$41.60	$41.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.13 / $88.13 / $88.13	Facility		$88.13	$88.13	$88.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $80.29 / $100.37	Professional		$50.80	$80.29	$100.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.26 / $50.11 / $210.19	Facility		$35.26	$50.11	$210.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $39.83 / $53.10	Professional		$15.39	$39.83	$53.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $61.70 / $81.13	Facility		$48.88	$61.70	$81.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $59.52 / $115.49	Professional		$19.57	$59.52	$115.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $103.33 / $121.56	Professional		$44.25	$103.33	$121.56
United Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $26.55 / $45.26	Professional		$15.39	$26.55	$45.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $44.25 / $44.25	Professional		$44.25	$44.25	$44.25