Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $84.24 / $84.24	Facility		$84.24	$84.24	$84.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.51 / $76.25 / $84.24	Professional		$65.51	$76.25	$84.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $114.71	Facility		$75.47	$75.47	$114.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $140.63 / $175.78	Professional		$140.63	$140.63	$175.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.25 / $128.86 / $539.88	Facility		$76.25	$128.86	$539.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $71.09 / $122.57	Professional		$44.43	$71.09	$122.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.39 / $114.71 / $198.17	Facility		$95.39	$114.71	$198.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.06 / $116.35 / $219.24	Professional		$95.06	$116.35	$219.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $108.93 / $129.47	Professional		$93.02	$108.93	$129.47
United Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $60.10 / $122.57	Professional		$40.34	$60.10	$122.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $102.19 / $102.19	Professional		$102.19	$102.19	$102.19