Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.61 / $89.61 / $89.61	Facility		$89.61	$89.61	$89.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $83.22 / $101.44	Professional		$40.38	$83.22	$101.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.50 / $177.62	Facility		$77.09	$100.50	$177.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $151.12 / $187.03	Professional		$149.63	$151.12	$187.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.22 / $140.63 / $645.14	Facility		$83.22	$140.63	$645.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $77.59 / $174.02	Professional		$48.50	$77.59	$174.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $177.62 / $233.63	Facility		$147.69	$177.62	$233.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.75 / $180.11 / $339.41	Professional		$139.75	$180.11	$339.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $118.89 / $141.32	Professional		$101.55	$118.89	$141.32
United Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $70.86 / $128.96	Professional		$47.56	$70.86	$128.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $158.24 / $158.24	Professional		$158.24	$158.24	$158.24