Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $69.39 / $69.39	Facility		$69.39	$69.39	$69.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $59.67 / $69.39	Professional		$54.84	$59.67	$69.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $96.02	Facility		$64.62	$64.62	$96.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $115.88 / $144.84	Professional		$111.28	$115.88	$144.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $100.84 / $463.13	Facility		$59.67	$100.84	$463.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $55.64 / $103.61	Professional		$34.78	$55.64	$103.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.84 / $96.02 / $167.51	Facility		$79.84	$96.02	$167.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $97.37 / $183.48	Professional		$78.64	$97.37	$183.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $85.24 / $101.33	Professional		$72.81	$85.24	$101.33
United Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $48.35 / $77.36	Professional		$34.10	$48.35	$77.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $85.54 / $85.54	Professional		$85.54	$85.54	$85.54