Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $48.23 / $48.23	Facility		$48.23	$48.23	$48.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $48.23 / $67.52	Professional		$34.38	$48.23	$67.52
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 $72.23 / $93.35 / $116.69	Professional		$72.23	$93.35	$116.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.16 / $78.88 / $94.20	Facility		$49.16	$78.88	$94.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $35.90 / $105.59	Professional		$30.79	$35.90	$105.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $112.44 / $155.38	Facility		$66.20	$112.44	$155.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $104.55 / $147.02	Professional		$61.57	$104.55	$147.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $123.62 / $140.96	Professional		$83.80	$123.62	$140.96
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $35.90 / $51.31	Professional		$21.55	$35.90	$51.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31