Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $68.15 / $68.15	Facility		$68.15	$68.15	$68.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $67.77 / $68.15	Professional		$61.32	$67.77	$68.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $107.38	Facility		$70.48	$70.48	$107.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $113.63 / $142.03	Professional		$113.63	$113.63	$142.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $107.06 / $456.72	Facility		$67.77	$107.06	$456.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $63.19 / $107.06	Professional		$39.50	$63.19	$107.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $107.38 / $168.14	Facility		$89.28	$107.38	$168.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $108.88 / $205.19	Professional		$87.92	$108.88	$205.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $96.81 / $115.07	Professional		$82.70	$96.81	$115.07
United Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $49.46 / $82.44	Professional		$34.22	$49.46	$82.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $92.74 / $92.74	Professional		$92.74	$92.74	$92.74