Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Facility		$67.00	$67.00	$67.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $67.00 / $78.12	Professional		$62.43	$67.00	$78.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $87.99	Facility		$51.74	$51.74	$87.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $93.55 / $115.78	Professional		$92.63	$93.55	$115.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.91 / $103.62 / $426.39	Facility		$66.91	$103.62	$426.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $53.21 / $94.94	Professional		$31.87	$53.21	$94.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $87.99 / $153.50	Facility		$73.16	$87.99	$153.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $89.24 / $168.14	Professional		$72.06	$89.24	$168.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $78.12 / $92.85	Professional		$66.73	$78.12	$92.85
United Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $53.21 / $66.51	Professional		$31.25	$53.21	$66.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $78.39 / $78.39	Professional		$78.39	$78.39	$78.39