Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.49 / $62.49 / $62.49	Facility		$62.49	$62.49	$62.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $54.02 / $62.49	Professional		$46.82	$54.02	$62.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $104.40	Facility		$56.94	$58.00	$104.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.25 / $104.40 / $130.31	Professional		$104.25	$104.40	$130.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.86 / $103.90 / $472.21	Facility		$64.86	$103.90	$472.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $59.82 / $106.74	Professional		$35.83	$59.82	$106.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.81 / $104.40 / $172.58	Facility		$86.81	$104.40	$172.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.51 / $105.88 / $199.52	Professional		$85.51	$105.88	$199.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $87.83 / $104.39	Professional		$75.01	$87.83	$104.39
United Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $49.81 / $74.78	Professional		$35.13	$49.81	$74.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.01 / $93.01 / $93.01	Professional		$93.01	$93.01	$93.01