Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $151.36 / $165.96	Facility		$34.67	$151.36	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $109.65 / $223.87	Professional		$34.67	$109.65	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $120.23	Professional		$95.50	$100.00	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $630.96	Professional		$107.15	$158.49	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $147.91	Professional		$128.82	$147.91	$147.91