Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $64.48 / $64.48	Facility		$64.48	$64.48	$64.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $53.51 / $64.48	Professional		$45.96	$53.51	$64.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $137.09 / $137.09	Facility		$137.09	$137.09	$137.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $124.68 / $155.86	Professional		$98.60	$124.68	$155.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.72 / $108.97 / $148.50	Facility		$65.72	$108.97	$148.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $75.28 / $777.00	Professional		$41.16	$75.28	$777.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.52 / $150.35 / $215.06	Facility		$88.52	$150.35	$215.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $139.77 / $196.54	Professional		$88.52	$139.77	$196.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $165.28 / $188.46	Professional		$97.26	$165.28	$188.46
United Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $41.16 / $123.48	Professional		$41.16	$41.16	$123.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $68.59 / $68.59	Professional		$68.59	$68.59	$68.59