Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.10 / $220.59 / $383.04	Facility		$112.10	$220.59	$383.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $36.90 / $185.12	Professional		$30.25	$36.90	$185.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $78.34 / $78.34	Facility		$78.34	$78.34	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $71.16 / $88.94	Professional		$45.02	$71.16	$88.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.45 / $134.93 / $258.29	Facility		$44.45	$134.93	$258.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $23.75 / $47.43	Professional		$23.56	$23.75	$47.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $71.98 / $120.75	Facility		$50.66	$71.98	$120.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $75.43 / $102.47	Professional		$50.66	$75.43	$102.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $92.38 / $107.86	Professional		$55.87	$92.38	$107.86
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.75 / $47.11	Professional		$16.48	$23.75	$47.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $39.26 / $39.26	Professional		$39.26	$39.26	$39.26