Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $72.38 / $80.45	Professional		$71.26	$72.38	$80.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $126.74	Facility		$70.70	$70.70	$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 $81.17 / $117.07 / $539.41	Facility		$81.17	$117.07	$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 $126.37 / $131.71 / $300.02	Professional		$126.37	$131.71	$300.02
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 / $58.41 / $97.35	Professional		$40.42	$58.41	$97.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $109.46 / $109.46	Professional		$109.46	$109.46	$109.46