Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $57.81 / $57.81	Facility		$49.95	$57.81	$57.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $57.81 / $57.81	Professional		$41.21	$57.81	$57.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.73 / $122.73 / $122.73	Facility		$122.73	$122.73	$122.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $111.63 / $139.54	Professional		$70.62	$111.63	$139.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $68.20 / $292.13	Facility		$55.08	$68.20	$292.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $55.35 / $73.80	Professional		$24.03	$55.35	$73.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $112.77 / $122.00	Facility		$76.33	$112.77	$122.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $93.10 / $160.52	Professional		$51.95	$93.10	$160.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $143.61 / $168.95	Professional		$56.54	$143.61	$168.95
United Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $25.83 / $70.68	Professional		$24.03	$25.83	$70.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $61.50 / $61.50	Professional		$61.50	$61.50	$61.50