Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.08 / $80.08 / $80.08	Facility		$80.08	$80.08	$80.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $64.45 / $80.08	Professional		$55.91	$64.45	$80.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $97.90	Facility		$54.02	$54.02	$97.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $133.50 / $166.88	Professional		$133.50	$133.50	$166.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $108.94 / $458.27	Facility		$64.45	$108.94	$458.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $60.10 / $102.59	Professional		$37.57	$60.10	$102.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.40 / $97.90 / $165.88	Facility		$81.40	$97.90	$165.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $99.27 / $187.08	Professional		$80.38	$99.27	$187.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $92.09 / $109.46	Professional		$78.66	$92.09	$109.46
United Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $47.87 / $78.41	Professional		$33.77	$47.87	$78.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $87.22 / $87.22	Professional		$87.22	$87.22	$87.22