Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $48.22 / $48.22	Facility		$48.22	$48.22	$48.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $54.24 / $56.21	Professional		$48.22	$54.24	$56.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $76.45	Facility		$35.97	$35.97	$76.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $67.42 / $83.44	Professional		$66.75	$67.42	$83.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $70.78 / $306.17	Facility		$48.15	$70.78	$306.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $38.29 / $76.48	Professional		$22.93	$38.29	$76.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.57 / $76.45 / $110.45	Facility		$63.57	$76.45	$110.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $77.52 / $146.09	Professional		$62.60	$77.52	$146.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $56.21 / $66.81	Professional		$48.02	$56.21	$66.81
United Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $38.29 / $47.86	Professional		$22.48	$38.29	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $68.11 / $68.11	Professional		$68.11	$68.11	$68.11