Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.55 / $65.55 / $65.55	Facility		$65.55	$65.55	$65.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $48.99 / $65.55	Professional		$45.02	$48.99	$65.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $78.84	Facility		$52.95	$52.95	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $109.50 / $136.88	Professional		$91.36	$109.50	$136.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $82.79 / $377.30	Facility		$48.99	$82.79	$377.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $47.67 / $85.05	Professional		$28.55	$47.67	$85.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.55 / $78.84 / $137.54	Facility		$65.55	$78.84	$137.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $79.94 / $150.63	Professional		$64.56	$79.94	$150.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $69.98 / $83.19	Professional		$59.78	$69.98	$83.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $47.67 / $99.06	Professional		$28.55	$47.67	$99.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $70.23 / $70.23	Professional		$70.23	$70.23	$70.23