Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $83.18 / $83.18	Facility		$81.28	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $85.11	Professional		$50.12	$67.61	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $154.88	Facility		$85.11	$85.11	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $173.78	Professional		$138.04	$138.04	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $213.80	Facility		$87.10	$125.89	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $660.69	Professional		$45.71	$72.44	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $151.36	Professional		$125.89	$151.36	$151.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $204.17	Professional		$125.89	$125.89	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $151.36	Professional		$95.50	$114.82	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $128.82	Professional		$45.71	$66.07	$128.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83