Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.36 / $95.36 / $95.36	Facility		$95.36	$95.36	$95.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $95.36 / $112.39	Professional		$88.42	$95.36	$112.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $124.62	Facility		$90.38	$90.38	$124.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $132.00 / $165.00	Professional		$132.00	$132.00	$165.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.69 / $161.16 / $532.02	Facility		$84.69	$161.16	$532.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $76.55 / $129.50	Professional		$45.85	$76.55	$129.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.62 / $124.62 / $195.17	Facility		$103.62	$124.62	$195.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $126.38 / $238.16	Professional		$102.06	$126.38	$238.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $112.39 / $133.60	Professional		$96.00	$112.39	$133.60
United Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $76.45 / $120.71	Professional		$39.72	$76.45	$120.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $111.02 / $111.02	Professional		$111.02	$111.02	$111.02