Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $159.88 / $202.19	Facility		$35.47	$159.88	$202.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $33.95 / $163.80	Professional		$24.52	$33.95	$163.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $75.06 / $75.06	Facility		$75.06	$75.06	$75.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $68.54 / $85.68	Professional		$43.37	$68.54	$85.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $42.72 / $180.45	Facility		$29.40	$42.72	$180.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $33.96 / $77.63	Professional		$22.64	$33.96	$77.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $76.86 / $83.84	Facility		$48.69	$76.86	$83.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $83.84 / $108.07	Professional		$48.69	$83.84	$108.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $88.10 / $103.65	Professional		$61.61	$88.10	$103.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.39 / $45.28	Professional		$15.85	$26.39	$45.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $37.72 / $37.72	Professional		$37.72	$37.72	$37.72