Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $69.18 / $69.18	Facility		$63.10	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $69.18	Professional		$38.90	$52.48	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $97.72	Facility		$64.57	$64.57	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $144.54	Professional		$114.82	$114.82	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $162.18	Facility		$67.61	$89.13	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $676.08	Professional		$34.67	$56.23	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $95.50	Professional		$79.43	$95.50	$95.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $154.88	Professional		$79.43	$79.43	$154.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $114.82	Professional		$72.44	$87.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $104.71	Professional		$34.67	$51.29	$104.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11