Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.56 / $97.56 / $97.56	Facility		$97.56	$97.56	$97.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $126.71 / $139.38	Professional		$97.56	$126.71	$139.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.23 / $99.23 / $99.23	Facility		$99.23	$99.23	$99.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $99.23 / $124.03	Professional		$63.40	$99.23	$124.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $185.47 / $438.60	Facility		$139.51	$185.47	$438.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $120.10 / $120.10	Professional		$120.10	$120.10	$120.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $208.00	Professional		$208.00	$208.00	$208.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $22.47 / $22.47	Professional		$22.47	$22.47	$22.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00