Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $91.20	Facility		$81.28	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $97.72	Professional		$47.86	$81.28	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $123.03	Facility		$87.10	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $158.49	Professional		$128.82	$128.82	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $117.49 / $302.00	Facility		$93.33	$117.49	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $562.34	Professional		$44.67	$74.13	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $120.23	Professional		$100.00	$120.23	$120.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $199.53	Professional		$100.00	$100.00	$199.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $147.91	Professional		$93.33	$112.20	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $117.49	Professional		$43.65	$74.13	$117.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65