Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $71.09 / $71.09	Facility		$71.09	$71.09	$71.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $71.09 / $71.09	Professional		$48.84	$71.09	$71.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.49 / $102.49 / $102.49	Facility		$102.49	$102.49	$102.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $102.49 / $128.11	Professional		$64.84	$102.49	$128.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $82.54 / $133.82	Facility		$48.84	$82.54	$133.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $43.10 / $481.72	Professional		$26.61	$43.10	$481.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.96 / $107.07 / $168.39	Facility		$62.96	$107.07	$168.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $104.50 / $139.25	Professional		$63.66	$104.50	$139.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $80.20 / $80.20	Professional		$80.20	$80.20	$80.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $38.26 / $79.04	Professional		$30.62	$38.26	$79.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $72.90 / $72.90	Professional		$59.50	$72.90	$72.90