Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.79 / $61.79 / $61.79	Facility		$61.79	$61.79	$61.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $61.79 / $62.85	Professional		$59.18	$61.79	$62.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $103.63	Facility		$54.54	$54.54	$103.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $103.63 / $128.91	Professional		$103.13	$103.63	$128.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $106.22 / $416.19	Facility		$64.36	$106.22	$416.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $58.18 / $103.33	Professional		$35.43	$58.18	$103.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.16 / $103.63 / $146.25	Facility		$86.16	$103.63	$146.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $105.07 / $198.02	Professional		$84.85	$105.07	$198.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $89.78 / $106.71	Professional		$76.68	$89.78	$106.71
United Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $45.86 / $76.44	Professional		$29.77	$45.86	$76.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $89.50 / $89.50	Professional		$89.50	$89.50	$89.50