Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $59.80 / $76.14	Professional		$54.95	$59.80	$76.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $96.23	Facility		$62.81	$62.81	$96.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $127.13 / $158.91	Professional		$111.51	$127.13	$158.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.80 / $101.06 / $468.00	Facility		$59.80	$101.06	$468.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $55.76 / $103.82	Professional		$34.85	$55.76	$103.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $80.01 / $96.23 / $167.88	Facility		$80.01	$96.23	$167.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $97.58 / $183.89	Professional		$78.80	$97.58	$183.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $85.43 / $101.55	Professional		$72.95	$85.43	$101.55
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $50.92 / $103.82	Professional		$34.17	$50.92	$103.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.73 / $85.73 / $85.73	Professional		$85.73	$85.73	$85.73