Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.64 / $50.64 / $50.64	Facility		$50.64	$50.64	$50.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $58.42 / $61.24	Professional		$50.64	$58.42	$61.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $102.30	Facility		$43.58	$43.58	$102.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $85.22 / $105.47	Professional		$84.38	$85.22	$105.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $99.34 / $368.08	Facility		$63.31	$99.34	$368.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $53.26 / $93.10	Professional		$31.60	$53.26	$93.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.06 / $102.30 / $133.86	Facility		$85.06	$102.30	$133.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $103.74 / $195.50	Professional		$80.06	$103.74	$195.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $87.48 / $103.98	Professional		$74.70	$87.48	$103.98
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $44.69 / $74.48	Professional		$27.25	$44.69	$74.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $91.14 / $91.14	Professional		$91.14	$91.14	$91.14