Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Facility		$42.11	$42.11	$42.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $51.67 / $64.83	Professional		$42.11	$51.67	$64.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.64 / $54.64 / $82.36	Facility		$54.64	$54.64	$82.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.78 / $97.50	Professional		$78.00	$78.78	$97.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.67 / $87.32 / $310.80	Facility		$51.67	$87.32	$310.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $46.47 / $101.90	Professional		$28.99	$46.47	$101.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.16 / $82.36 / $101.00	Facility		$81.16	$82.36	$101.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $85.19 / $162.65	Professional		$81.16	$85.19	$162.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $75.56 / $84.45	Professional		$65.20	$75.56	$84.45
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $34.58 / $67.16	Professional		$23.41	$34.58	$67.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Professional		$80.48	$80.48	$80.48