Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $66.38	Facility		$66.38	$66.38	$66.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $66.17 / $66.38	Professional		$63.76	$66.17	$66.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $111.64	Facility		$61.81	$61.81	$111.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $111.64 / $138.28	Professional		$110.63	$111.64	$138.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $111.83 / $510.12	Facility		$69.37	$111.83	$510.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $61.70 / $113.39	Professional		$38.57	$61.70	$113.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $111.64 / $183.33	Facility		$92.83	$111.64	$183.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $113.22 / $213.35	Professional		$91.44	$113.22	$213.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $94.53 / $112.37	Professional		$80.75	$94.53	$112.37
United Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $64.39 / $105.09	Professional		$38.57	$64.39	$105.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42