Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $78.95 / $78.95	Facility		$78.95	$78.95	$78.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $58.26 / $78.95	Professional		$53.54	$58.26	$78.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $93.75	Facility		$71.02	$71.02	$93.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $131.63 / $164.53	Professional		$108.65	$131.63	$164.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.26 / $98.46 / $457.61	Facility		$58.26	$98.46	$457.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $55.64 / $101.15	Professional		$33.96	$55.64	$101.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.95 / $93.75 / $163.54	Facility		$77.95	$93.75	$163.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $95.07 / $179.15	Professional		$76.79	$95.07	$179.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $83.23 / $98.93	Professional		$71.09	$83.23	$98.93
United Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $65.06 / $130.69	Professional		$33.96	$65.06	$130.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $83.53 / $83.53	Professional		$83.53	$83.53	$83.53