Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $89.13	Professional		$46.77	$67.61	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $134.90	Facility		$81.28	$81.28	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $173.78	Professional		$141.25	$141.25	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $229.09	Facility		$93.33	$123.03	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $602.56	Professional		$48.98	$77.62	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $131.83	Professional		$109.65	$131.83	$131.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $218.78	Professional		$109.65	$109.65	$218.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $162.18	Professional		$102.33	$123.03	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $128.82	Professional		$47.86	$61.66	$128.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82