Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $92.77 / $109.56	Professional		$86.02	$92.77	$109.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $121.23	Facility		$87.96	$87.96	$121.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $128.25 / $160.31	Professional		$128.25	$128.25	$160.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.45 / $185.16 / $475.86	Facility		$100.45	$185.16	$475.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $74.62 / $125.99	Professional		$44.69	$74.62	$125.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.80 / $121.23 / $189.94	Facility		$100.80	$121.23	$189.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $122.93 / $231.67	Professional		$99.29	$122.93	$231.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $109.56 / $130.22	Professional		$93.58	$109.56	$130.22
United Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $74.39 / $93.27	Professional		$38.65	$74.39	$93.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $110.21 / $110.21	Professional		$110.21	$110.21	$110.21