Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $74.13	Professional		$38.90	$58.88	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $117.49	Facility		$61.66	$61.66	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $147.91	Professional		$120.23	$120.23	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $102.33 / $190.55	Facility		$85.11	$102.33	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $562.34	Professional		$40.74	$64.57	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $114.82	Professional		$95.50	$114.82	$114.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $181.97	Professional		$95.50	$95.50	$181.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $134.90	Professional		$85.11	$102.33	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $109.65	Professional		$40.74	$57.54	$109.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33