Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $107.15	Professional		$57.54	$81.28	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $162.18	Facility		$81.28	$81.28	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $213.80	Professional		$169.82	$169.82	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $147.91 / $275.42	Facility		$112.20	$147.91	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $741.31	Professional		$58.88	$93.33	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $158.49	Professional		$131.83	$158.49	$158.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $263.03	Professional		$131.83	$131.83	$263.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $194.98	Professional		$123.03	$147.91	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $154.88	Professional		$58.88	$74.13	$154.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25