Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $62.33 / $62.33	Facility		$62.33	$62.33	$62.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $62.33 / $62.65	Professional		$50.07	$62.33	$62.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $70.56	Facility		$48.15	$48.15	$70.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $86.25 / $107.81	Professional		$81.78	$86.25	$107.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $81.79 / $346.37	Facility		$54.22	$81.79	$346.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $42.67 / $76.16	Professional		$25.56	$42.67	$76.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.67 / $70.56 / $123.11	Facility		$58.67	$70.56	$123.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $71.56 / $134.87	Professional		$57.80	$71.56	$134.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $62.65 / $74.47	Professional		$53.52	$62.65	$74.47
United Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $42.67 / $56.86	Professional		$25.06	$42.67	$56.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $62.87 / $62.87	Professional		$62.87	$62.87	$62.87