Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $68.98 / $68.98	Facility		$68.98	$68.98	$68.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $73.94 / $90.60	Professional		$68.98	$73.94	$90.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.99 / $118.99 / $118.99	Facility		$118.99	$118.99	$118.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $126.50 / $156.56	Professional		$125.25	$126.50	$156.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $124.96 / $508.15	Facility		$73.90	$124.96	$508.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $65.79 / $123.64	Professional		$43.09	$65.79	$123.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.92 / $118.99 / $155.68	Facility		$98.92	$118.99	$155.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $120.65 / $227.36	Professional		$93.11	$120.65	$227.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $105.63 / $125.56	Professional		$90.22	$105.63	$125.56
United Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $53.96 / $89.93	Professional		$35.92	$53.96	$89.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $102.76 / $102.76	Professional		$102.76	$102.76	$102.76