Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.67 / $95.67 / $95.67	Facility		$95.67	$95.67	$95.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $77.83 / $95.67	Professional		$75.16	$77.83	$95.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $136.28	Facility		$64.52	$64.52	$136.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.15 / $159.75 / $199.69	Professional		$140.15	$159.75	$199.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.65 / $127.02 / $554.66	Facility		$84.65	$127.02	$554.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $70.08 / $135.87	Professional		$43.80	$70.08	$135.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.31 / $136.28 / $198.17	Facility		$113.31	$136.28	$198.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $138.18 / $260.41	Professional		$111.60	$138.18	$260.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $107.37 / $127.63	Professional		$91.71	$107.37	$127.63
United Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $60.10 / $122.55	Professional		$40.34	$60.10	$122.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $121.41 / $121.41	Professional		$121.41	$121.41	$121.41