Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $70.37 / $392.96	Facility		$70.37	$70.37	$392.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $53.71 / $70.37	Professional		$52.40	$53.71	$70.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.49 / $149.49 / $149.49	Facility		$149.49	$149.49	$149.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $135.78 / $169.73	Professional		$85.90	$135.78	$169.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $120.13 / $355.59	Facility		$71.73	$120.13	$355.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $67.37 / $154.04	Professional		$44.92	$67.37	$154.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $152.52 / $204.10	Facility		$96.60	$152.52	$204.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $166.36 / $207.62	Professional		$96.60	$166.36	$207.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $180.36 / $205.66	Professional		$74.86	$180.36	$205.66
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $52.37 / $154.04	Professional		$31.44	$52.37	$154.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $74.86 / $74.86	Professional		$74.86	$74.86	$74.86