Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.63 / $50.63 / $50.63	Facility		$50.63	$50.63	$50.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $50.63 / $56.55	Professional		$45.69	$50.63	$56.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $90.22	Facility		$57.67	$57.67	$90.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $90.00 / $90.00	Professional		$72.00	$90.00	$90.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $95.57 / $275.93	Facility		$57.75	$95.57	$275.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $62.21 / $107.19	Professional		$40.78	$62.21	$107.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.22 / $91.99 / $123.02	Facility		$90.22	$91.99	$123.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $97.37 / $189.75	Professional		$90.22	$97.37	$189.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $69.98 / $85.39	Professional		$60.40	$69.98	$85.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $52.56 / $85.12	Professional		$10.85	$52.56	$85.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $80.38 / $80.38	Professional		$80.38	$80.38	$80.38