Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $167.56 / $293.24	Facility		$61.44	$167.56	$293.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $67.20 / $194.40	Professional		$42.48	$67.20	$194.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.56 / $130.56 / $130.56	Facility		$130.56	$130.56	$130.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $118.81 / $148.51	Professional		$93.96	$118.81	$148.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $103.83 / $247.83	Facility		$62.62	$103.83	$247.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $45.73 / $134.49	Professional		$39.22	$45.73	$134.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $84.34 / $143.24 / $183.30	Facility		$84.34	$143.24	$183.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $133.13 / $183.30	Professional		$78.43	$133.13	$183.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $157.47 / $179.56	Professional		$106.74	$157.47	$179.56
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $45.73 / $65.36	Professional		$27.45	$45.73	$65.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $65.36 / $65.36	Professional		$65.36	$65.36	$65.36