Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $57.54	Professional		$28.18	$41.69	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $74.13	Facility		$39.81	$39.81	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $95.50	Professional		$77.62	$77.62	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $72.44 / $125.89	Facility		$45.71	$72.44	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $331.13	Professional		$26.30	$38.02	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $72.44	Professional		$60.26	$72.44	$72.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $120.23	Professional		$60.26	$60.26	$120.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $87.10	Professional		$54.95	$66.07	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $67.61	Professional		$25.70	$33.11	$67.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26