Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $56.87 / $56.87	Facility		$56.87	$56.87	$56.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $56.87 / $69.23	Professional		$34.46	$56.87	$69.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $77.70 / $115.51	Facility		$67.20	$77.70	$115.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $85.60 / $105.94	Professional		$84.75	$85.60	$105.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $117.02 / $324.51	Facility		$69.23	$117.02	$324.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $70.90 / $123.30	Professional		$47.06	$70.90	$123.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $123.97 / $156.97	Facility		$115.51	$123.97	$156.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $124.27 / $241.74	Professional		$115.51	$124.27	$241.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $83.95 / $107.22	Professional		$70.90	$83.95	$107.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $64.12 / $106.87	Professional		$12.74	$64.12	$106.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $102.91 / $102.91	Professional		$102.91	$102.91	$102.91