Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $60.96 / $81.72	Professional		$59.42	$60.96	$81.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $104.05	Facility		$62.72	$62.72	$104.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $112.88 / $141.09	Professional		$112.88	$112.88	$141.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $121.40 / $490.51	Facility		$75.73	$121.40	$490.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $70.43 / $119.54	Professional		$41.80	$70.43	$119.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $104.05 / $177.05	Facility		$86.50	$104.05	$177.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $105.50 / $214.29	Professional		$94.20	$105.50	$214.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $116.74 / $138.76	Professional		$99.71	$116.74	$138.76
United Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $53.70 / $99.39	Professional		$36.04	$53.70	$99.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $92.70	Professional		$92.70	$92.70	$92.70