Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.91 / $82.91 / $82.91	Facility		$82.91	$82.91	$82.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $68.80 / $82.91	Professional		$59.09	$68.80	$82.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.60 / $175.60 / $175.60	Facility		$175.60	$175.60	$175.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $160.59 / $200.74	Professional		$127.00	$160.59	$200.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $99.86 / $161.91	Facility		$83.24	$99.86	$161.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $52.92 / $161.72	Professional		$44.98	$52.92	$161.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.81 / $161.72 / $196.00	Facility		$113.81	$161.72	$196.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $161.72 / $193.31	Professional		$105.84	$161.72	$193.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.13 / $212.50 / $242.30	Professional		$126.13	$212.50	$242.30
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $44.98 / $88.20	Professional		$37.04	$44.98	$88.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $88.20 / $88.20	Professional		$88.20	$88.20	$88.20