Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $69.45 / $76.41	Professional		$53.90	$69.45	$76.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $107.92	Facility		$84.97	$84.97	$107.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $88.25 / $109.22	Professional		$87.38	$88.25	$109.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $113.64 / $370.47	Facility		$67.23	$113.64	$370.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $75.66 / $131.69	Professional		$45.32	$75.66	$131.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.14 / $108.53 / $147.72	Facility		$103.14	$108.53	$147.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $116.96 / $228.32	Professional		$107.92	$116.96	$228.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $84.73 / $94.88	Professional		$73.11	$84.73	$94.88
United Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $64.58 / $94.58	Professional		$26.52	$64.58	$94.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $96.15 / $96.15	Professional		$96.15	$96.15	$96.15