Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $63.88 / $63.88	Facility		$63.88	$63.88	$63.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $63.52 / $187.94	Professional		$49.32	$63.52	$187.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $100.64	Facility		$61.54	$61.54	$100.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $106.50 / $133.13	Professional		$106.50	$106.50	$133.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $107.35 / $428.17	Facility		$63.52	$107.35	$428.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $59.23 / $100.36	Professional		$37.02	$59.23	$100.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.69 / $100.64 / $157.63	Facility		$83.69	$100.64	$157.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $102.06 / $192.34	Professional		$82.43	$102.06	$192.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $90.74 / $107.86	Professional		$77.52	$90.74	$107.86
United Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $46.36 / $77.26	Professional		$32.08	$46.36	$77.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $86.92 / $86.92	Professional		$86.92	$86.92	$86.92