Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $52.98 / $52.98	Facility		$52.98	$52.98	$52.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $52.12 / $52.98	Professional		$47.90	$52.12	$52.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $83.88	Facility		$54.11	$54.11	$83.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $88.50 / $110.63	Professional		$88.50	$88.50	$110.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $88.08 / $395.32	Facility		$52.12	$88.08	$395.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $48.60 / $90.50	Professional		$30.38	$48.60	$90.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $83.88 / $146.32	Facility		$69.73	$83.88	$146.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $85.05 / $160.27	Professional		$68.69	$85.05	$160.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $74.45 / $88.51	Professional		$63.60	$74.45	$88.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $42.23 / $65.39	Professional		$29.78	$42.23	$65.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $74.73 / $74.73	Professional		$74.73	$74.73	$74.73