Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $63.53 / $63.53	Facility		$63.53	$63.53	$63.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $63.53 / $63.53	Professional		$52.73	$63.53	$63.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $52.94 / $52.94	Facility		$52.94	$52.94	$52.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $54.00 / $66.19	Professional		$52.95	$54.00	$66.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $72.67 / $156.66	Facility		$42.57	$72.67	$156.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $59.29 / $59.29	Professional		$36.88	$59.29	$59.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $56.07 / $77.95	Facility		$33.52	$56.07	$77.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $48.87 / $70.54	Professional		$38.44	$48.87	$70.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $58.45	Professional		$54.00	$54.00	$58.45
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $59.29	Professional		$52.94	$52.94	$59.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $52.94 / $52.94	Facility		$52.94	$52.94	$52.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $52.94	Professional		$52.94	$52.94	$52.94