Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $79.43	Facility		$67.61	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $79.43	Professional		$41.69	$56.23	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Facility		$81.28	$81.28	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $165.96	Professional		$131.83	$131.83	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $97.72 / $177.83	Facility		$70.79	$97.72	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $891.25	Professional		$37.15	$60.26	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $109.65	Professional		$91.20	$109.65	$109.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $169.82	Professional		$91.20	$91.20	$169.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $125.89	Professional		$79.43	$93.33	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $117.49	Professional		$37.15	$52.48	$117.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72