Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $79.43	Facility		$67.61	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $79.43	Professional		$39.81	$52.48	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $100.00	Facility		$53.70	$53.70	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $165.96	Professional		$134.90	$134.90	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $95.50 / $177.83	Facility		$69.18	$95.50	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $891.25	Professional		$37.15	$56.23	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $97.72	Professional		$81.28	$97.72	$97.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $169.82	Professional		$81.28	$81.28	$169.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $125.89	Professional		$79.43	$93.33	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $117.49	Professional		$37.15	$47.86	$117.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10