Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.66 / $56.66 / $56.66	Facility		$56.66	$56.66	$56.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $30.37 / $74.42	Professional		$27.60	$30.37	$74.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $97.74	Facility		$59.47	$59.47	$97.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $103.13 / $128.91	Professional		$103.13	$103.13	$128.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $102.65 / $415.82	Facility		$60.71	$102.65	$415.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $63.26 / $101.57	Professional		$35.39	$63.26	$101.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.26 / $97.74 / $153.44	Facility		$81.26	$97.74	$153.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $99.09 / $186.75	Professional		$80.03	$99.09	$186.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $86.77 / $103.14	Professional		$74.09	$86.77	$103.14
United Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $46.54 / $73.87	Professional		$31.24	$46.54	$73.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $87.07	Professional		$87.07	$87.07	$87.07