Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $83.92 / $83.92	Facility		$83.92	$83.92	$83.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $83.92 / $151.63	Professional		$69.65	$83.92	$151.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.93 / $69.93 / $69.93	Facility		$69.93	$69.93	$69.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $127.69 / $159.61	Professional		$127.69	$127.69	$159.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $127.65 / $488.89	Facility		$72.45	$127.65	$488.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $125.32	Professional		$69.93	$69.93	$125.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.38 / $202.59 / $236.36	Facility		$150.38	$202.59	$236.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $150.38 / $162.79	Professional		$150.38	$150.38	$162.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $355.82 / $360.06 / $360.06	Professional		$355.82	$360.06	$360.06
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $95.99	Professional		$46.67	$46.67	$95.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Facility		$46.67	$46.67	$46.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67