Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $75.03 / $75.03	Facility		$75.03	$75.03	$75.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $94.93	Professional		$75.03	$75.78	$94.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $89.89 / $89.89	Facility		$89.89	$89.89	$89.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $77.91 / $96.42	Professional		$77.14	$77.91	$96.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.17 / $128.74 / $152.36	Facility		$73.17	$128.74	$152.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $84.80 / $3,766.52	Professional		$76.18	$84.80	$3,766.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $115.58 / $144.94	Facility		$90.83	$115.58	$144.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $114.27 / $144.94	Professional		$90.83	$114.27	$144.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $82.10 / $105.97	Professional		$71.84	$82.10	$105.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.53 / $89.29	Professional		$75.03	$79.53	$89.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $83.37 / $83.37 / $83.37	Facility		$83.37	$83.37	$83.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $83.37 / $83.37	Professional		$83.37	$83.37	$83.37