Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $109.65	Professional		$63.10	$67.61	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.89 / $25.70	Professional		$20.42	$20.89	$25.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $91.20 / $194.98	Facility		$36.31	$91.20	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $75.86	Professional		$42.66	$66.07	$75.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $316.23	Professional		$38.90	$66.07	$316.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07