Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $217.47	Facility		$68.97	$68.97	$217.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $68.97 / $219.60	Professional		$57.23	$68.97	$219.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $146.22 / $146.22	Facility		$146.22	$146.22	$146.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $133.16 / $166.46	Professional		$105.32	$133.16	$166.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $83.08 / $134.69	Facility		$69.23	$83.08	$134.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $44.02 / $134.53	Professional		$42.75	$44.02	$134.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $135.79 / $171.38	Facility		$94.67	$135.79	$171.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $134.53 / $175.08	Professional		$88.04	$134.53	$175.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $171.33 / $201.56	Professional		$99.79	$171.33	$201.56
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $42.75 / $73.37	Professional		$30.82	$42.75	$73.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Professional		$73.37	$73.37	$73.37