Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $92.83 / $92.83	Facility		$92.83	$92.83	$92.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $92.83 / $92.83	Professional		$63.79	$92.83	$92.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $133.16 / $133.16	Facility		$133.16	$133.16	$133.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $133.16 / $166.46	Professional		$84.25	$133.16	$166.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $107.81 / $179.28	Facility		$75.48	$107.81	$179.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $56.29 / $629.27	Professional		$42.89	$56.29	$629.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $144.12 / $219.95	Facility		$82.54	$144.12	$219.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $141.30 / $211.37	Professional		$83.45	$141.30	$211.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.08 / $129.08 / $129.08	Professional		$129.08	$129.08	$129.08
United Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $50.77 / $103.22	Professional		$39.97	$50.77	$103.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $117.60 / $117.60	Professional		$96.20	$117.60	$117.60