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 / $40.02 / $48.23	Professional		$34.38	$40.02	$48.23
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 $48.42 / $58.10 / $94.20	Facility		$48.42	$58.10	$94.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $32.31 / $104.55	Professional		$30.79	$32.31	$104.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $104.55 / $131.35	Facility		$66.20	$104.55	$131.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $104.55 / $112.44	Professional		$61.57	$104.55	$112.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $123.62 / $140.96	Professional		$73.37	$123.62	$140.96
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $32.31 / $51.31	Professional		$21.55	$32.31	$51.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31