Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $55.10 / $55.10	Facility		$55.10	$55.10	$55.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $45.72 / $55.10	Professional		$39.28	$45.72	$55.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.85 / $116.85 / $116.85	Facility		$116.85	$116.85	$116.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $106.41 / $133.01	Professional		$82.35	$106.41	$133.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.17 / $68.67 / $119.37	Facility		$56.17	$68.67	$119.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $38.90 / $361.80	Professional		$29.97	$38.90	$361.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.64 / $107.49 / $155.62	Facility		$75.64	$107.49	$155.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $98.36 / $128.47	Professional		$70.34	$98.36	$128.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $120.05 / $161.04	Professional		$70.51	$120.05	$161.04
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $29.97 / $58.62	Professional		$24.62	$29.97	$58.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $58.62 / $58.62	Professional		$58.62	$58.62	$58.62