Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.54 / $73.54 / $73.54	Facility		$73.54	$73.54	$73.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $73.54 / $96.47	Professional		$63.57	$73.54	$96.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $116.42	Facility		$68.45	$68.45	$116.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $122.63 / $153.28	Professional		$122.63	$122.63	$153.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $143.34 / $594.69	Facility		$81.44	$143.34	$594.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $80.81 / $137.44	Professional		$47.94	$80.81	$137.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $116.42 / $203.11	Facility		$96.80	$116.42	$203.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $120.30 / $252.99	Professional		$105.41	$120.30	$252.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.72 / $137.81 / $163.81	Professional		$117.72	$137.81	$163.81
United Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $70.40 / $117.34	Professional		$41.34	$70.40	$117.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $103.72 / $103.72	Professional		$103.72	$103.72	$103.72