Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $75.86	Professional		$33.88	$50.12	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Facility		$50.12	$50.12	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $128.82	Professional		$102.33	$102.33	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $169.82	Facility		$67.61	$89.13	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $446.68	Professional		$35.48	$56.23	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $97.72	Professional		$81.28	$97.72	$97.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $162.18	Professional		$81.28	$81.28	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $120.23	Professional		$74.13	$89.13	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $93.33	Professional		$35.48	$44.67	$93.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18