Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $82.61 / $82.61	Facility		$82.61	$82.61	$82.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $82.61 / $82.61	Professional		$58.88	$82.61	$82.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.95 / $174.95 / $174.95	Facility		$174.95	$174.95	$174.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $159.94 / $199.92	Professional		$101.19	$159.94	$199.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.20 / $103.27 / $417.43	Facility		$84.20	$103.27	$417.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $79.09 / $132.54	Professional		$45.06	$79.09	$132.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.41 / $161.15 / $231.55	Facility		$113.41	$161.15	$231.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $147.47 / $229.37	Professional		$97.39	$147.47	$229.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $205.21 / $241.42	Professional		$94.20	$205.21	$241.42
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $52.73 / $105.46	Professional		$36.90	$52.73	$105.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $87.88 / $87.88	Professional		$87.88	$87.88	$87.88