Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $65.31 / $65.31	Facility		$65.31	$65.31	$65.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $67.14 / $101.53	Professional		$65.31	$67.14	$101.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $94.63	Facility		$48.73	$48.73	$94.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $91.28 / $112.97	Professional		$90.38	$91.28	$112.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.77 / $105.59 / $406.12	Facility		$58.77	$105.59	$406.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $61.70 / $103.90	Professional		$39.68	$61.70	$103.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $94.63 / $149.63	Facility		$78.68	$94.63	$149.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $95.97 / $186.39	Professional		$85.69	$95.97	$186.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $101.53 / $120.69	Professional		$86.73	$101.53	$120.69
United Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $58.62 / $89.68	Professional		$30.46	$58.62	$89.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $84.31 / $84.31	Professional		$84.31	$84.31	$84.31