Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $78.73 / $78.73	Facility		$78.73	$78.73	$78.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $40.15 / $101.10	Professional		$36.50	$40.15	$101.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $74.27 / $156.10	Facility		$70.80	$74.27	$156.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $156.10 / $164.06	Professional		$131.25	$156.10	$164.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.96 / $151.55 / $589.07	Facility		$96.96	$151.55	$589.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $89.65 / $141.87	Professional		$51.33	$89.65	$141.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $156.10 / $217.44	Facility		$129.79	$156.10	$217.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.79 / $158.30 / $298.30	Professional		$129.79	$158.30	$298.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $144.43 / $171.68	Professional		$123.35	$144.43	$171.68
United Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $70.79 / $122.97	Professional		$44.26	$70.79	$122.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.81 / $134.81 / $134.81	Professional		$134.81	$134.81	$134.81