Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $54.52 / $54.52	Facility		$54.52	$54.52	$54.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $45.24 / $54.52	Professional		$38.86	$45.24	$54.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.55 / $115.55 / $115.55	Facility		$115.55	$115.55	$115.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $105.10 / $131.38	Professional		$69.59	$105.10	$131.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $59.31 / $92.14	Facility		$32.15	$59.31	$92.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $34.79 / $290.00	Professional		$14.03	$34.79	$290.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $74.84 / $127.11	Facility		$50.00	$74.84	$127.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $69.66 / $119.48	Professional		$44.57	$69.66	$119.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $118.78 / $159.34	Professional		$41.57	$118.78	$159.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $24.36 / $52.20	Professional		$14.03	$24.36	$52.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Professional		$58.00	$58.00	$58.00