Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $128.82	Facility		$109.65	$109.65	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $134.90	Professional		$69.18	$91.20	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $208.93	Professional		$100.00	$165.96	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $204.17	Facility		$75.86	$112.20	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $741.31	Professional		$42.66	$60.26	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $123.03	Professional		$42.66	$58.88	$123.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $114.82	Professional		$95.50	$114.82	$114.82