Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Facility		$81.00	$81.00	$81.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $63.26 / $76.20	Professional		$52.43	$63.26	$76.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $73.06 / $110.77	Facility		$68.22	$73.06	$110.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $135.00 / $168.75	Professional		$128.37	$135.00	$168.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $110.45 / $535.05	Facility		$68.84	$110.45	$535.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $66.98 / $119.52	Professional		$40.11	$66.98	$119.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $110.77 / $193.25	Facility		$92.11	$110.77	$193.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $112.34 / $211.70	Professional		$90.73	$112.34	$211.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $98.34 / $116.89	Professional		$84.00	$98.34	$116.89
United Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $58.62 / $116.57	Professional		$39.34	$58.62	$116.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $95.67 / $95.67	Professional		$95.67	$95.67	$95.67