Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $52.40 / $52.40	Facility		$52.40	$52.40	$52.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $52.40 / $59.13	Professional		$37.35	$52.40	$59.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.98 / $110.98 / $110.98	Facility		$110.98	$110.98	$110.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $101.18 / $126.48	Professional		$78.31	$101.18	$126.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.41 / $66.93 / $119.37	Facility		$53.41	$66.93	$119.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $37.90 / $343.25	Professional		$29.21	$37.90	$343.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.94 / $102.21 / $150.63	Facility		$71.94	$102.21	$150.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $95.00 / $122.46	Professional		$66.89	$95.00	$122.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $114.15 / $153.13	Professional		$68.73	$114.15	$153.13
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $29.21 / $55.74	Professional		$23.41	$29.21	$55.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $55.74 / $55.74	Professional		$55.74	$55.74	$55.74