Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.66 / $68.66 / $68.66	Facility		$68.66	$68.66	$68.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $60.14 / $65.44	Professional		$31.75	$60.14	$65.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $105.30	Facility		$56.69	$62.81	$105.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $114.38 / $142.97	Professional		$114.38	$114.38	$142.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.44 / $110.59 / $501.46	Facility		$65.44	$110.59	$501.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $61.02 / $113.61	Professional		$38.14	$61.02	$113.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $105.30 / $183.70	Facility		$87.56	$105.30	$183.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $106.78 / $201.23	Professional		$86.23	$106.78	$201.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $93.49 / $111.12	Professional		$79.84	$93.49	$111.12
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $53.02 / $79.59	Professional		$37.40	$53.02	$79.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $93.82 / $93.82	Professional		$93.82	$93.82	$93.82