Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.90 / $54.90 / $54.90	Facility		$54.90	$54.90	$54.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $43.19 / $49.48	Professional		$34.04	$43.19	$49.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $69.00 / $85.37	Facility		$46.70	$69.00	$85.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $91.50 / $114.38	Professional		$83.34	$91.50	$114.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.03 / $75.54 / $352.17	Facility		$53.03	$75.54	$352.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $43.50 / $85.13	Professional		$26.05	$43.50	$85.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $85.37 / $125.47	Facility		$70.98	$85.37	$125.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $86.56 / $163.13	Professional		$69.91	$86.56	$163.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $63.85 / $75.89	Professional		$54.54	$63.85	$75.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $38.06 / $54.37	Professional		$25.54	$38.06	$54.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $73.73 / $73.73	Professional		$73.73	$73.73	$73.73