Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $25,065.71 / $25,065.71	Facility		$85.12	$25,065.71	$25,065.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.96 / $107.25	Professional		$85.12	$85.96	$107.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.98 / $101.98 / $101.98	Facility		$101.98	$101.98	$101.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.46 / $106.83	Professional		$85.12	$85.46	$106.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $144.07 / $170.50	Facility		$85.25	$144.07	$170.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $94.90 / $370.33	Professional		$85.25	$94.90	$370.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.64 / $111.00 / $141.24	Facility		$100.64	$111.00	$141.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $111.00 / $129.03	Professional		$100.64	$111.00	$129.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $93.15 / $93.15	Professional		$93.15	$93.15	$93.15
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $101.29	Professional		$85.12	$85.12	$101.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $93.29 / $93.29 / $93.29	Facility		$93.29	$93.29	$93.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $93.29 / $93.29	Professional		$93.29	$93.29	$93.29