Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Facility		$39.31	$39.31	$39.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.25 / $179.25 / $224.06	Facility		$179.25	$179.25	$224.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $134.44 / $168.05	Professional		$134.44	$134.44	$168.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $70.22 / $113.85	Facility		$41.55	$70.22	$113.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $41.55 / $3,990.00	Professional		$41.55	$41.55	$3,990.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.86 / $71.17 / $533.69	Facility		$49.86	$71.17	$533.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $71.17 / $533.69	Professional		$49.86	$71.17	$533.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $43.02 / $43.02	Professional		$43.02	$43.02	$43.02
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $43.24	Professional		$39.31	$39.31	$43.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $41.55 / $41.55	Facility		$41.55	$41.55	$41.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $41.55 / $41.55	Professional		$41.55	$41.55	$41.55