Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $93.33	Facility		$75.86	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $107.15	Professional		$41.69	$75.86	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $107.15	Facility		$60.26	$60.26	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Professional		$128.82	$128.82	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $104.71 / $281.84	Facility		$77.62	$104.71	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $645.65	Professional		$41.69	$69.18	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $107.15	Professional		$89.13	$104.71	$107.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $186.21	Professional		$89.13	$89.13	$186.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $138.04	Professional		$87.10	$104.71	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $114.82	Professional		$41.69	$69.18	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50