Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $63.32 / $63.32	Facility		$63.32	$63.32	$63.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $63.32 / $63.32	Professional		$45.13	$63.32	$63.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $122.07 / $152.59	Professional		$77.23	$122.07	$152.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.54 / $107.98 / $321.95	Facility		$64.54	$107.98	$321.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $60.62 / $138.60	Professional		$40.42	$60.62	$138.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.92 / $137.22 / $211.17	Facility		$86.92	$137.22	$211.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $137.22 / $183.99	Professional		$86.92	$137.22	$183.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $157.29 / $185.05	Professional		$109.99	$157.29	$185.05
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $47.12 / $80.83	Professional		$28.29	$47.12	$80.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $67.36 / $67.36	Professional		$67.36	$67.36	$67.36