Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $67.98 / $67.98	Facility		$67.98	$67.98	$67.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $61.46 / $89.17	Professional		$58.75	$61.46	$89.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $107.61	Facility		$72.18	$72.18	$107.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $113.25 / $141.56	Professional		$113.25	$113.25	$141.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.29 / $133.32 / $556.78	Facility		$75.29	$133.32	$556.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $86.70 / $137.02	Professional		$45.13	$86.70	$137.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.49 / $107.61 / $187.74	Facility		$89.49	$107.61	$187.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $111.20 / $233.87	Professional		$97.44	$111.20	$233.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $127.39 / $151.41	Professional		$108.81	$127.39	$151.41
United Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $56.95 / $108.46	Professional		$38.22	$56.95	$108.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $95.87 / $95.87	Professional		$95.87	$95.87	$95.87