Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $37.52	Professional		$35.00	$35.00	$37.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $82.00 / $102.50	Facility		$82.00	$82.00	$102.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $79.69	Professional		$63.75	$63.75	$79.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $59.71 / $75.04	Facility		$51.37	$59.71	$75.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $43.73 / $273.35	Professional		$21.87	$43.73	$273.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.19 / $62.55 / $78.98	Facility		$60.19	$62.55	$78.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $60.38 / $92.36	Professional		$50.20	$60.38	$92.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $54.89 / $72.65	Professional		$45.78	$54.89	$72.65
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $27.38 / $50.83	Professional		$18.22	$27.38	$50.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $49.40 / $49.40	Professional		$49.40	$49.40	$49.40