Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.27 / $80.27 / $80.27	Facility		$80.27	$80.27	$80.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $71.47 / $81.26	Professional		$69.06	$71.47	$81.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $142.29	Facility		$66.37	$66.37	$142.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $133.88 / $167.34	Professional		$133.88	$133.88	$167.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.38 / $121.06 / $557.39	Facility		$88.38	$121.06	$557.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $66.64 / $141.87	Professional		$41.65	$66.64	$141.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $142.29 / $200.65	Facility		$118.31	$142.29	$200.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $144.28 / $271.89	Professional		$116.52	$144.28	$271.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $102.10 / $121.36	Professional		$87.21	$102.10	$121.36
United Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $60.85 / $86.93	Professional		$40.84	$60.85	$86.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $122.88 / $122.88	Professional		$122.88	$122.88	$122.88