Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $92.83 / $92.83	Facility		$92.83	$92.83	$92.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $92.83 / $92.83	Professional		$63.79	$92.83	$92.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $133.16 / $133.16	Facility		$133.16	$133.16	$133.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $133.16 / $166.46	Professional		$84.25	$133.16	$166.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $107.81 / $426.26	Facility		$75.48	$107.81	$426.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $69.54 / $146.97	Professional		$49.97	$69.54	$146.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $156.85 / $172.58	Facility		$137.09	$156.85	$172.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $144.12 / $268.67	Professional		$75.59	$144.12	$268.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
United Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $61.93 / $103.22	Professional		$39.97	$61.93	$103.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $69.40 / $69.40	Professional		$56.70	$69.40	$69.40