Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $281.69	Facility		$44.94	$44.94	$281.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $37.29 / $44.94	Professional		$34.31	$37.29	$44.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $95.31 / $95.31	Facility		$95.31	$95.31	$95.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $86.82 / $108.53	Professional		$54.93	$86.82	$108.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.80 / $70.95 / $227.10	Facility		$45.80	$70.95	$227.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $43.03 / $98.37	Professional		$28.69	$43.03	$98.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $97.39 / $106.24	Facility		$61.69	$97.39	$106.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $105.31 / $124.78	Professional		$61.69	$105.31	$124.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $111.64 / $131.34	Professional		$53.39	$111.64	$131.34
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $33.45 / $57.37	Professional		$20.07	$33.45	$57.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $47.81 / $47.81	Professional		$47.81	$47.81	$47.81