Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.15 / $57.15 / $57.15	Facility		$57.15	$57.15	$57.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.15 / $57.15	Professional		$40.74	$57.15	$57.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.42 / $121.42 / $121.42	Facility		$121.42	$121.42	$121.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $110.32 / $137.90	Professional		$69.80	$110.32	$137.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $57.39 / $288.80	Facility		$19.22	$57.39	$288.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $36.47 / $72.95	Professional		$8.38	$36.47	$72.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $79.37 / $111.49	Facility		$26.63	$79.37	$111.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $34.36 / $158.69	Professional		$18.14	$34.36	$158.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $141.97 / $167.03	Professional		$24.87	$141.97	$167.03
United Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $25.54 / $60.80	Professional		$8.38	$25.54	$60.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $60.80	Professional		$60.80	$60.80	$60.80