Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.59 / $67.86 / $264.80	Facility		$58.59	$67.86	$264.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $52.57 / $67.86	Professional		$51.79	$52.57	$67.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.62 / $143.62 / $143.62	Facility		$143.62	$143.62	$143.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $131.21 / $164.02	Professional		$83.01	$131.21	$164.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.14 / $81.75 / $342.90	Facility		$68.14	$81.75	$342.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $64.97 / $108.29	Professional		$36.82	$64.97	$108.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.63 / $132.37 / $137.43	Facility		$86.63	$132.37	$137.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $132.37 / $188.42	Professional		$86.70	$132.37	$188.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $173.93 / $198.32	Professional		$72.19	$173.93	$198.32
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $43.31 / $86.63	Professional		$30.32	$43.31	$86.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $72.19 / $72.19	Professional		$72.19	$72.19	$72.19