Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $64.57 / $64.57	Facility		$52.48	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $64.57	Professional		$30.20	$44.67	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $81.28	Facility		$52.48	$52.48	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $75.86 / $134.90	Facility		$66.07	$75.86	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $467.74	Professional		$28.84	$45.71	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $79.43	Professional		$66.07	$79.43	$79.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $128.82	Professional		$66.07	$66.07	$128.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $95.50	Professional		$60.26	$72.44	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $95.50	Professional		$28.84	$41.69	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79