Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $47.02 / $47.02	Facility		$47.02	$47.02	$47.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $47.02 / $50.40	Professional		$47.02	$47.02	$50.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $137.50	Facility		$110.00	$110.00	$137.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $85.50 / $106.88	Professional		$85.50	$85.50	$106.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $85.18 / $138.10	Facility		$72.34	$85.18	$138.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $58.74 / $648.41	Professional		$29.37	$58.74	$648.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $80.87 / $84.00 / $106.11	Facility		$80.87	$84.00	$106.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $82.24 / $161.44	Professional		$67.44	$82.24	$161.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $73.73 / $97.59	Professional		$61.49	$73.73	$97.59
United Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $36.79 / $61.31	Professional		$24.48	$36.79	$61.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $66.36 / $66.36	Professional		$66.36	$66.36	$66.36