Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Facility		$63.68	$63.68	$63.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $63.68 / $75.59	Professional		$63.09	$63.68	$75.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $64.88 / $64.88	Facility		$64.88	$64.88	$64.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $63.68 / $73.22	Professional		$58.58	$63.68	$73.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.79 / $105.57 / $171.17	Facility		$62.79	$105.57	$171.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $69.97 / $69.97	Professional		$62.47	$69.97	$69.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $68.97 / $99.35	Facility		$56.03	$68.97	$99.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $64.70 / $85.15	Professional		$48.44	$64.70	$85.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $69.69 / $115.90	Professional		$69.69	$69.69	$115.90
United Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $63.68 / $71.31	Professional		$54.13	$63.68	$71.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $62.47 / $62.47	Facility		$62.47	$62.47	$62.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $62.47 / $62.47	Professional		$62.47	$62.47	$62.47