Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $104.71	Professional		$52.48	$72.44	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $128.82	Facility		$91.20	$91.20	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $204.17	Professional		$162.18	$162.18	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $269.15	Facility		$97.72	$134.90	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $724.44	Professional		$52.48	$74.13	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $125.89	Professional		$104.71	$125.89	$125.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $257.04	Professional		$104.71	$104.71	$257.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $190.55	Professional		$120.23	$144.54	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $144.54	Professional		$52.48	$72.44	$144.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20