Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $62.70 / $62.70	Facility		$62.70	$62.70	$62.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $62.70 / $87.78	Professional		$44.69	$62.70	$87.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $133.16 / $133.16	Facility		$133.16	$133.16	$133.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $120.77 / $150.96	Professional		$76.41	$120.77	$150.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $106.94 / $316.83	Facility		$63.91	$106.94	$316.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $60.03 / $137.25	Professional		$40.02	$60.03	$137.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $135.90 / $209.10	Facility		$86.07	$135.90	$209.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $147.00 / $191.10	Professional		$86.07	$147.00	$191.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $155.75 / $183.24	Professional		$74.72	$155.75	$183.24
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $46.67 / $80.04	Professional		$28.01	$46.67	$80.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $66.70 / $66.70	Professional		$66.70	$66.70	$66.70