Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $331.13 / $1,862.09	Facility		$102.33	$331.13	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $758.58	Professional		$81.28	$223.87	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $158.49	Professional		$128.82	$128.82	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $933.25	Facility		$102.33	$154.88	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $97.72	Professional		$85.11	$85.11	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $97.72	Professional		$85.11	$85.11	$97.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72