Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $73.53 / $73.53	Facility		$73.53	$73.53	$73.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $68.22 / $86.68	Professional		$26.01	$68.22	$86.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $96.14	Facility		$69.70	$69.70	$96.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $101.63 / $127.03	Professional		$101.63	$101.63	$127.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $124.27 / $410.39	Facility		$65.31	$124.27	$410.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $59.04 / $99.92	Professional		$35.36	$59.04	$99.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $96.14 / $150.52	Facility		$79.94	$96.14	$150.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $97.48 / $183.72	Professional		$78.73	$97.48	$183.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.04 / $86.68 / $103.03	Professional		$74.04	$86.68	$103.03
United Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $56.58 / $73.80	Professional		$30.64	$56.58	$73.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $85.65 / $85.65	Professional		$85.65	$85.65	$85.65