Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.21 / $90.21 / $90.21	Facility		$90.21	$90.21	$90.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $66.56 / $90.21	Professional		$61.18	$66.56	$90.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $107.12	Facility		$83.99	$83.99	$107.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $150.38 / $187.97	Professional		$124.13	$150.38	$187.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $112.50 / $528.70	Facility		$66.56	$112.50	$528.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $62.78 / $115.58	Professional		$38.79	$62.78	$115.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $107.12 / $186.87	Facility		$89.07	$107.12	$186.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $108.63 / $204.71	Professional		$87.72	$108.63	$204.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $95.10 / $113.04	Professional		$81.23	$95.10	$113.04
United Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $64.78 / $136.33	Professional		$38.79	$64.78	$136.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $95.43 / $95.43	Professional		$95.43	$95.43	$95.43