Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $47.81 / $47.81	Facility		$47.81	$47.81	$47.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $47.81 / $50.86	Professional		$25.43	$47.81	$50.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.18 / $101.18 / $101.18	Facility		$101.18	$101.18	$101.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $92.04 / $115.06	Professional		$58.23	$92.04	$115.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.01 / $57.60 / $241.59	Facility		$48.01	$57.60	$241.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $45.77 / $69.84	Professional		$23.75	$45.77	$69.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $93.26 / $107.78	Facility		$65.63	$93.26	$107.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $75.43 / $132.74	Professional		$35.47	$75.43	$132.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $118.76 / $139.72	Professional		$55.43	$118.76	$139.72
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $30.52 / $61.03	Professional		$21.36	$30.52	$61.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86