Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $57.54	Professional		$30.20	$43.65	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $87.10	Facility		$43.65	$43.65	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $112.20	Professional		$91.20	$91.20	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $79.43 / $147.91	Facility		$60.26	$79.43	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $389.05	Professional		$31.62	$50.12	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $85.11	Professional		$70.79	$85.11	$85.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $141.25	Professional		$70.79	$70.79	$141.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $104.71	Professional		$66.07	$79.43	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $83.18	Professional		$30.90	$39.81	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13