Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $47.56 / $47.56	Facility		$47.56	$47.56	$47.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $47.56 / $62.39	Professional		$43.00	$47.56	$62.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $75.30	Facility		$42.77	$42.77	$75.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $99.38	Professional		$79.50	$79.50	$99.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.45 / $92.69 / $365.88	Facility		$59.45	$92.69	$365.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $52.26 / $85.35	Professional		$31.01	$52.26	$85.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.61 / $75.30 / $131.36	Facility		$62.61	$75.30	$131.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $77.80 / $163.62	Professional		$68.18	$77.80	$163.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $89.13 / $105.95	Professional		$76.13	$89.13	$105.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $45.53 / $75.89	Professional		$26.74	$45.53	$75.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $67.08 / $67.08	Professional		$67.08	$67.08	$67.08