Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.97 / $76.97 / $76.97	Facility		$76.97	$76.97	$76.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $76.97 / $76.97	Professional		$54.86	$76.97	$76.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $148.84 / $186.05	Professional		$94.16	$148.84	$186.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $110.96 / $388.93	Facility		$78.45	$110.96	$388.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $73.69 / $142.40	Professional		$48.41	$73.69	$142.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.66 / $150.13 / $194.08	Facility		$105.66	$150.13	$194.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $153.79 / $213.71	Professional		$104.64	$153.79	$213.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $191.20 / $224.94	Professional		$113.02	$191.20	$224.94
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $49.13 / $142.40	Professional		$34.39	$49.13	$142.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $81.88 / $81.88	Professional		$81.88	$81.88	$81.88