Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $56.65 / $56.65	Facility		$56.65	$56.65	$56.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $51.32 / $56.65	Professional		$49.32	$51.32	$56.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $86.35	Facility		$36.72	$36.72	$86.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $94.50 / $118.13	Professional		$94.50	$94.50	$118.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.66 / $86.73 / $353.81	Facility		$53.66	$86.73	$353.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $47.85 / $86.10	Professional		$29.91	$47.85	$86.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $86.35 / $129.43	Facility		$71.80	$86.35	$129.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $87.57 / $165.02	Professional		$70.73	$87.57	$165.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $73.31 / $87.14	Professional		$62.61	$73.31	$87.14
United Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $37.45 / $59.81	Professional		$26.34	$37.45	$59.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $76.93 / $76.93	Professional		$76.93	$76.93	$76.93