Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $88.96 / $88.96	Facility		$73.59	$88.96	$88.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $57.60 / $72.56	Professional		$57.60	$57.60	$72.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $107.70	Facility		$59.92	$59.92	$107.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $122.63 / $153.28	Professional		$122.63	$122.63	$153.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.92 / $110.80 / $474.60	Facility		$66.92	$110.80	$474.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $61.13 / $113.82	Professional		$38.21	$61.13	$113.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.56 / $107.70 / $184.02	Facility		$89.56	$107.70	$184.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $109.23 / $205.84	Professional		$88.22	$109.23	$205.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $93.65 / $111.32	Professional		$79.98	$93.65	$111.32
United Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $55.81 / $84.99	Professional		$37.46	$55.81	$84.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.01 / $93.01 / $93.01	Professional		$93.01	$93.01	$93.01