Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $60.55	Facility		$60.55	$60.55	$60.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $60.55 / $60.55	Professional		$43.15	$60.55	$60.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.60 / $128.60 / $128.60	Facility		$128.60	$128.60	$128.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $116.85 / $146.06	Professional		$73.93	$116.85	$146.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $103.27 / $307.83	Facility		$61.70	$103.27	$307.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $57.97 / $132.54	Professional		$38.65	$57.97	$132.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.11 / $131.22 / $201.93	Facility		$83.11	$131.22	$201.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $143.13 / $184.55	Professional		$83.11	$143.13	$184.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $150.40 / $176.95	Professional		$105.18	$150.40	$176.95
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $45.06 / $77.29	Professional		$27.05	$45.06	$77.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $64.41	Professional		$64.41	$64.41	$64.41