Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.47 / $77.47 / $77.47	Facility		$77.47	$77.47	$77.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $84.23 / $88.05	Professional		$77.47	$84.23	$88.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $118.71	Facility		$59.82	$59.82	$118.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.25 / $108.32 / $134.06	Professional		$107.25	$108.32	$134.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.19 / $110.86 / $477.03	Facility		$76.19	$110.86	$477.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $59.98 / $123.04	Professional		$35.92	$59.98	$123.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $118.71 / $173.01	Facility		$98.70	$118.71	$173.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $120.37 / $226.84	Professional		$97.21	$120.37	$226.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $88.05 / $104.66	Professional		$75.20	$88.05	$104.66
United Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $59.98 / $74.97	Professional		$35.22	$59.98	$74.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $105.76 / $105.76	Professional		$105.76	$105.76	$105.76