Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.67 / $90.67 / $90.67	Facility		$90.67	$90.67	$90.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $73.65 / $90.67	Professional		$69.62	$73.65	$90.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $121.91	Facility		$75.80	$75.80	$121.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $151.13 / $188.91	Professional		$137.35	$151.13	$188.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $124.47 / $563.66	Facility		$75.75	$124.47	$563.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $68.68 / $127.88	Professional		$42.93	$68.68	$127.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $121.91 / $206.76	Facility		$101.38	$121.91	$206.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $123.65 / $233.00	Professional		$99.86	$123.65	$233.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $105.21 / $125.06	Professional		$89.87	$105.21	$125.06
United Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $62.71 / $127.88	Professional		$42.08	$62.71	$127.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $108.61 / $108.61	Professional		$108.61	$108.61	$108.61