Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $151.36	Facility		$75.86	$75.86	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $128.82	Professional		$75.86	$75.86	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $97.72	Professional		$77.62	$77.62	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $213.80	Facility		$95.50	$131.83	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $79.43	Professional		$67.61	$77.62	$79.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $83.18	Professional		$75.86	$75.86	$83.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43