Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.97 / $167.28 / $255.13	Facility		$77.97	$167.28	$255.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $45.62 / $183.60	Professional		$24.56	$45.62	$183.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.87 / $131.87 / $131.87	Facility		$131.87	$131.87	$131.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $131.87 / $164.83	Professional		$83.43	$131.87	$164.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $68.66 / $144.07	Facility		$33.61	$68.66	$144.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $31.58 / $289.44	Professional		$21.05	$31.58	$289.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $76.90 / $110.01	Facility		$45.28	$76.90	$110.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $71.48 / $100.53	Professional		$42.11	$71.48	$100.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $84.54 / $96.40	Professional		$57.31	$84.54	$96.40
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $24.55 / $40.35	Professional		$14.74	$24.55	$40.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09