Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $72.98 / $72.98	Facility		$72.98	$72.98	$72.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $72.59 / $72.98	Professional		$65.66	$72.59	$72.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $114.97	Facility		$67.95	$67.95	$114.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $121.88 / $152.34	Professional		$121.88	$121.88	$152.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $114.64 / $489.15	Facility		$72.59	$114.64	$489.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $67.68 / $114.64	Professional		$42.30	$67.68	$114.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.60 / $114.97 / $180.09	Facility		$95.60	$114.97	$180.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $116.58 / $219.71	Professional		$94.15	$116.58	$219.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $103.70 / $123.27	Professional		$88.57	$103.70	$123.27
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $52.97 / $88.29	Professional		$36.65	$52.97	$88.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $102.43 / $102.43	Professional		$102.43	$102.43	$102.43