Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.69 / $85.69 / $85.69	Facility		$85.69	$85.69	$85.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $81.47 / $112.41	Professional		$77.47	$81.47	$112.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $135.65	Facility		$79.77	$79.77	$135.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $142.88 / $178.59	Professional		$142.88	$142.88	$178.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.89 / $166.99 / $647.48	Facility		$94.89	$166.99	$647.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $94.14 / $154.06	Professional		$55.86	$94.14	$154.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.79 / $135.65 / $236.67	Facility		$112.79	$135.65	$236.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $140.16 / $294.80	Professional		$122.83	$140.16	$294.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $160.58 / $190.87	Professional		$137.16	$160.58	$190.87
United Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $82.03 / $136.72	Professional		$48.17	$82.03	$136.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.85 / $120.85 / $120.85	Professional		$120.85	$120.85	$120.85