Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $57.54 / $57.54	Facility		$52.48	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $64.57	Professional		$28.18	$51.29	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $74.13	Facility		$44.67	$44.67	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $100.00	Professional		$81.28	$81.28	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $72.44 / $194.98	Facility		$51.29	$72.44	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $389.05	Professional		$28.84	$45.71	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $72.44	Professional		$60.26	$72.44	$72.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $128.82	Professional		$60.26	$60.26	$128.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $95.50	Professional		$60.26	$72.44	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $72.44	Professional		$27.54	$45.71	$72.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57