Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $122.92 / $122.92	Facility		$80.45	$122.92	$122.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $72.38 / $80.45	Professional		$68.34	$72.38	$80.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $126.74	Facility		$64.66	$64.66	$126.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.25 / $134.25 / $167.81	Professional		$134.25	$134.25	$167.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $135.25 / $539.41	Facility		$80.03	$135.25	$539.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $74.62 / $126.37	Professional		$46.64	$74.62	$126.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.38 / $126.74 / $198.59	Facility		$105.38	$126.74	$198.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $128.53 / $242.20	Professional		$103.81	$128.53	$242.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $114.33 / $135.88	Professional		$97.65	$114.33	$135.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $60.23 / $115.79	Professional		$40.42	$60.23	$115.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $109.46 / $109.46	Professional		$109.46	$109.46	$109.46