Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.69 / $85.69 / $85.69	Facility		$85.69	$85.69	$85.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $85.69 / $85.69	Professional		$61.08	$85.69	$85.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.48 / $181.48 / $181.48	Facility		$181.48	$181.48	$181.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $165.81 / $207.26	Professional		$104.90	$165.81	$207.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $128.68 / $433.01	Facility		$87.34	$128.68	$433.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $82.04 / $174.89	Professional		$54.70	$82.04	$174.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.64 / $185.73 / $285.79	Facility		$117.64	$185.73	$285.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $185.73 / $249.39	Professional		$117.64	$185.73	$249.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $212.87 / $250.43	Professional		$97.04	$212.87	$250.43
United Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $59.46 / $109.39	Professional		$38.29	$59.46	$109.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $91.16 / $91.16	Professional		$91.16	$91.16	$91.16