Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $56.23 / $120.23	Professional		$27.54	$56.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $100.00	Facility		$58.88	$58.88	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $128.82	Professional		$102.33	$102.33	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $165.96	Facility		$60.26	$97.72	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $446.68	Professional		$35.48	$61.66	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $97.72	Professional		$81.28	$97.72	$97.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $158.49	Professional		$81.28	$81.28	$158.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $117.49	Professional		$74.13	$89.13	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $89.13	Professional		$35.48	$61.66	$89.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10