Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $128.65 / $408.48	Facility		$47.81	$128.65	$408.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $45.42 / $47.81	Professional		$33.06	$45.42	$47.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.18 / $101.18 / $101.18	Facility		$101.18	$101.18	$101.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $92.04 / $115.06	Professional		$58.23	$92.04	$115.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $81.52 / $242.94	Facility		$48.73	$81.52	$242.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $35.58 / $71.05	Professional		$30.52	$35.58	$71.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $103.62 / $159.44	Facility		$65.63	$103.62	$159.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $112.00 / $145.69	Professional		$65.63	$112.00	$145.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $118.76 / $139.72	Professional		$79.25	$118.76	$139.72
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $35.58 / $61.03	Professional		$21.36	$35.58	$61.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86