Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Facility		$84.00	$84.00	$84.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $64.12 / $84.00	Professional		$58.92	$64.12	$84.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $103.18	Facility		$71.68	$71.68	$103.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $140.25 / $175.31	Professional		$119.57	$140.25	$175.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.12 / $108.36 / $496.97	Facility		$64.12	$108.36	$496.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $59.79 / $111.33	Professional		$37.36	$59.79	$111.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.79 / $103.18 / $180.01	Facility		$85.79	$103.18	$180.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $104.64 / $197.17	Professional		$84.50	$104.64	$197.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $91.60 / $108.88	Professional		$78.25	$91.60	$108.88
United Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $51.95 / $77.98	Professional		$36.64	$51.95	$77.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $91.92 / $91.92	Professional		$91.92	$91.92	$91.92