Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $73.53 / $88.53	Professional		$67.73	$73.53	$88.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.27 / $116.27 / $116.27	Facility		$116.27	$116.27	$116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $124.23 / $153.75	Professional		$123.00	$124.23	$153.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $124.27 / $456.25	Facility		$72.23	$124.27	$456.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $68.56 / $120.82	Professional		$42.86	$68.56	$120.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $116.27 / $182.12	Facility		$96.67	$116.27	$182.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $117.89 / $222.18	Professional		$95.22	$117.89	$222.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $105.04 / $124.86	Professional		$89.72	$105.04	$124.86
United Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $53.66 / $89.44	Professional		$37.07	$53.66	$89.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $105.70 / $105.70	Professional		$105.70	$105.70	$105.70