Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $55.66 / $60.41	Professional		$50.11	$55.66	$60.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $105.78	Facility		$46.45	$46.45	$105.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $103.80 / $104.53	Professional		$83.63	$103.80	$104.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $94.07 / $383.48	Facility		$62.65	$94.07	$383.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $54.16 / $101.96	Professional		$32.44	$54.16	$101.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $105.78 / $138.40	Facility		$87.96	$105.78	$138.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $107.27 / $202.13	Professional		$82.79	$107.27	$202.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $79.52 / $94.52	Professional		$67.92	$79.52	$94.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $47.98 / $72.12	Professional		$28.17	$47.98	$72.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $94.24 / $94.24	Professional		$94.24	$94.24	$94.24