Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $67.61	Professional		$37.15	$56.23	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $117.49	Facility		$58.88	$58.88	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $134.90	Professional		$109.65	$109.65	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $177.83	Facility		$79.43	$97.72	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $616.60	Professional		$37.15	$60.26	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $114.82	Professional		$95.50	$114.82	$114.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $169.82	Professional		$95.50	$95.50	$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 / $100.00	Professional		$37.15	$52.48	$100.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33