Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $75.86	Professional		$39.81	$57.54	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $114.82	Facility		$57.54	$57.54	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $147.91	Professional		$120.23	$120.23	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $104.71 / $194.98	Facility		$77.62	$104.71	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $512.86	Professional		$41.69	$64.57	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $112.20	Professional		$93.33	$112.20	$112.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $186.21	Professional		$93.33	$93.33	$186.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $138.04	Professional		$87.10	$104.71	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $109.65	Professional		$40.74	$51.29	$109.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72