Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $83.18	Facility		$57.54	$72.44	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $177.83	Professional		$41.69	$64.57	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $61.66 / $109.65	Facility		$60.26	$61.66	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $154.88	Professional		$123.03	$123.03	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $177.83	Facility		$72.44	$102.33	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $524.81	Professional		$38.02	$64.57	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $107.15	Professional		$89.13	$107.15	$107.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $173.78	Professional		$89.13	$89.13	$173.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $125.89	Professional		$79.43	$95.50	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $112.20	Professional		$38.02	$53.70	$112.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33