Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $34.36 / $34.36	Facility		$34.36	$34.36	$34.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $34.36 / $34.36	Professional		$24.50	$34.36	$34.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.11 / $73.11 / $73.11	Facility		$73.11	$73.11	$73.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $66.59 / $83.23	Professional		$42.13	$66.59	$83.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $90.51 / $344.35	Facility		$35.04	$90.51	$344.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $39.50 / $116.18	Professional		$21.94	$39.50	$116.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $74.48 / $125.47	Facility		$47.17	$74.48	$125.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $95.42 / $154.06	Professional		$47.17	$95.42	$154.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $92.94 / $153.66	Professional		$60.93	$92.94	$153.66
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $32.90 / $43.87	Professional		$15.36	$32.90	$43.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $36.56 / $36.56	Professional		$36.56	$36.56	$36.56