Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.07 / $189.81 / $226.02	Facility		$38.07	$189.81	$226.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $42.60 / $178.00	Professional		$40.95	$42.60	$178.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.35 / $93.35 / $93.35	Facility		$93.35	$93.35	$93.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $85.52 / $106.90	Professional		$54.10	$85.52	$106.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $53.20 / $224.07	Facility		$29.40	$53.20	$224.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $42.28 / $96.68	Professional		$28.19	$42.28	$96.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.63 / $95.70 / $104.41	Facility		$60.63	$95.70	$104.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $104.00 / $127.45	Professional		$60.63	$104.00	$127.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $110.00 / $129.06	Professional		$76.73	$110.00	$129.06
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $32.86 / $62.01	Professional		$19.73	$32.86	$62.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $46.98 / $46.98	Professional		$46.98	$46.98	$46.98