Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $69.18	Professional		$36.31	$52.48	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $104.71	Facility		$58.88	$58.88	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $134.90	Professional		$109.65	$109.65	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $177.83	Facility		$70.79	$95.50	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $478.63	Professional		$38.02	$60.26	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $102.33	Professional		$85.11	$102.33	$102.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $169.82	Professional		$85.11	$85.11	$169.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $125.89	Professional		$79.43	$95.50	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $100.00	Professional		$37.15	$47.86	$100.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20