Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $81.73 / $81.73	Facility		$81.73	$81.73	$81.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $81.73 / $81.73	Professional		$58.26	$81.73	$81.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $173.64 / $173.64	Facility		$173.64	$173.64	$173.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $157.97 / $197.47	Professional		$99.95	$157.97	$197.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $139.40 / $413.06	Facility		$83.31	$139.40	$413.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $78.26 / $124.50	Professional		$42.33	$78.26	$124.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $177.16 / $272.62	Facility		$112.21	$177.16	$272.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $177.16 / $237.20	Professional		$91.50	$177.16	$237.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $203.06 / $238.90	Professional		$99.60	$203.06	$238.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $52.18 / $104.35	Professional		$36.52	$52.18	$104.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $86.96 / $86.96	Professional		$86.96	$86.96	$86.96