Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $65.34	Facility		$65.34	$65.34	$65.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $65.34 / $65.34	Professional		$46.58	$65.34	$65.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $138.38 / $138.38	Facility		$138.38	$138.38	$138.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $126.64 / $158.30	Professional		$80.12	$126.64	$158.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.61 / $330.22 / $1,393.00	Facility		$66.61	$330.22	$1,393.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $62.57 / $104.28	Professional		$35.46	$62.57	$104.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $127.47 / $132.35	Facility		$83.42	$127.47	$132.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $132.35 / $181.45	Professional		$83.50	$132.35	$181.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $167.49 / $190.99	Professional		$69.52	$167.49	$190.99
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $62.57 / $91.77	Professional		$29.20	$62.57	$91.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $69.52 / $69.52	Professional		$69.52	$69.52	$69.52