Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.63 / $75.63 / $75.63	Facility		$75.63	$75.63	$75.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $75.63 / $75.63	Professional		$53.91	$75.63	$75.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.59 / $160.59 / $160.59	Facility		$160.59	$160.59	$160.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $146.22 / $182.78	Professional		$92.51	$146.22	$182.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $47.45 / $382.19	Facility		$9.86	$47.45	$382.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $48.28 / $96.55	Professional		$4.07	$48.28	$96.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $105.03 / $147.54	Facility		$19.14	$105.03	$147.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $24.68 / $210.00	Professional		$8.78	$24.68	$210.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $187.88 / $221.04	Professional		$13.09	$187.88	$221.04
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $33.79 / $80.45	Professional		$4.07	$33.79	$80.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Professional		$80.45	$80.45	$80.45