Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.97 / $96.97 / $96.97	Facility		$96.97	$96.97	$96.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $96.97 / $104.50	Professional		$87.67	$96.97	$104.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $153.52	Facility		$90.28	$90.28	$153.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $161.63 / $202.03	Professional		$161.63	$161.63	$202.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.50 / $176.61 / $703.87	Facility		$104.50	$176.61	$703.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $97.45 / $165.63	Professional		$60.91	$97.45	$165.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $127.64 / $153.52 / $267.81	Facility		$127.64	$153.52	$267.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.33 / $155.68 / $293.33	Professional		$130.33	$155.68	$293.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $149.29 / $177.45	Professional		$127.52	$149.29	$177.45
United Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $81.23 / $127.11	Professional		$54.52	$81.23	$127.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $136.77 / $136.77 / $136.77	Professional		$136.77	$136.77	$136.77