Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.06 / $89.06 / $89.06	Facility		$89.06	$89.06	$89.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $188.76 / $701.50	Professional		$73.90	$188.76	$701.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.66 / $188.66 / $188.66	Facility		$188.66	$188.66	$188.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $172.34 / $215.42	Professional		$136.29	$172.34	$215.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.42 / $107.28 / $173.94	Facility		$89.42	$107.28	$173.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $64.23 / $188.91	Professional		$56.84	$64.23	$188.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.26 / $204.02 / $257.48	Facility		$122.26	$204.02	$257.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $187.06 / $257.48	Professional		$113.69	$187.06	$257.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $228.26 / $260.27	Professional		$149.93	$228.26	$260.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $64.23 / $94.74	Professional		$39.79	$64.23	$94.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $94.74 / $94.74	Professional		$94.74	$94.74	$94.74