Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $64.57 / $75.86	Professional		$33.88	$64.57	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $95.50	Facility		$48.98	$48.98	$95.50
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 $61.66 / $102.33 / $275.42	Facility		$61.66	$102.33	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $512.86	Professional		$39.81	$58.88	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $95.50	Professional		$79.43	$93.33	$95.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $186.21	Professional		$79.43	$79.43	$186.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $138.04	Professional		$87.10	$104.71	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $87.10	Professional		$30.90	$58.88	$87.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11