Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.75 / $61.75 / $61.75	Facility		$61.75	$61.75	$61.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $55.55 / $61.75	Professional		$52.44	$55.55	$61.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $97.26	Facility		$56.02	$56.02	$97.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $104.16 / $128.91	Professional		$103.13	$104.16	$128.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $103.62 / $413.81	Facility		$61.43	$103.62	$413.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $57.27 / $96.99	Professional		$35.79	$57.27	$96.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $80.86 / $97.26 / $152.34	Facility		$80.86	$97.26	$152.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $98.62 / $185.82	Professional		$79.64	$98.62	$185.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $87.75 / $104.31	Professional		$74.95	$87.75	$104.31
United Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $59.77 / $94.22	Professional		$33.00	$59.77	$94.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Professional		$84.00	$84.00	$84.00