Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.05 / $94.05 / $94.05	Facility		$94.05	$94.05	$94.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $94.05 / $102.53	Professional		$75.20	$94.05	$102.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $105.99	Facility		$60.21	$60.21	$105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $130.13 / $162.66	Professional		$130.13	$130.13	$162.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.30 / $123.79 / $510.07	Facility		$71.30	$123.79	$510.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $69.84 / $114.36	Professional		$41.83	$69.84	$114.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $105.99 / $184.91	Facility		$88.12	$105.99	$184.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $107.48 / $202.55	Professional		$89.50	$107.48	$202.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $102.53 / $121.87	Professional		$87.57	$102.53	$121.87
United Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $64.09 / $87.30	Professional		$37.64	$64.09	$87.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $94.42 / $94.42	Professional		$94.42	$94.42	$94.42