Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.57 / $93.57 / $93.57	Facility		$93.57	$93.57	$93.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $100.30 / $122.90	Professional		$93.57	$100.30	$122.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $161.40	Facility		$88.15	$88.15	$161.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.25 / $170.25 / $212.81	Professional		$170.25	$170.25	$212.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.29 / $169.51 / $689.27	Facility		$100.29	$169.51	$689.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $89.28 / $167.74	Professional		$58.46	$89.28	$167.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.21 / $161.40 / $211.18	Facility		$134.21	$161.40	$211.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.33 / $163.66 / $308.44	Professional		$126.33	$163.66	$308.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $143.29 / $170.32	Professional		$122.40	$143.29	$170.32
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $73.20 / $122.01	Professional		$48.72	$73.20	$122.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $139.38 / $139.38	Professional		$139.38	$139.38	$139.38