Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.03 / $47.03 / $47.03	Facility		$47.03	$47.03	$47.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $47.03 / $52.55	Professional		$19.47	$47.03	$52.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $83.83	Facility		$52.17	$52.17	$83.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $67.80 / $83.91	Professional		$67.13	$67.80	$83.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $88.81 / $256.42	Facility		$52.71	$88.81	$256.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $57.80 / $99.60	Professional		$37.90	$57.80	$99.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.83 / $85.48 / $114.30	Facility		$83.83	$85.48	$114.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $93.09 / $176.31	Professional		$84.23	$93.09	$176.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $65.03 / $79.34	Professional		$56.12	$65.03	$79.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $47.45 / $79.09	Professional		$10.08	$47.45	$79.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $74.69 / $74.69	Professional		$74.69	$74.69	$74.69