Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $63.84 / $63.84	Facility		$63.84	$63.84	$63.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $63.84 / $75.25	Professional		$59.20	$63.84	$75.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $43.76 / $83.44	Facility		$43.76	$43.76	$83.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $89.39 / $110.63	Professional		$88.50	$89.39	$110.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.68 / $107.89 / $354.84	Facility		$56.68	$107.89	$354.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $51.26 / $86.70	Professional		$30.70	$51.26	$86.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $83.44 / $130.63	Facility		$69.37	$83.44	$130.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $84.60 / $159.43	Professional		$68.31	$84.60	$159.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $75.25 / $89.45	Professional		$64.26	$75.25	$89.45
United Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $51.17 / $64.06	Professional		$26.59	$51.17	$64.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $74.33 / $74.33	Professional		$74.33	$74.33	$74.33