Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $64.57	Facility		$57.54	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $57.54 / $69.18	Professional		$33.88	$57.54	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $87.10	Facility		$61.66	$61.66	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $112.20	Professional		$91.20	$91.20	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $213.80	Facility		$63.10	$79.43	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $398.11	Professional		$31.62	$52.48	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $85.11	Professional		$70.79	$85.11	$85.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $141.25	Professional		$70.79	$70.79	$141.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $104.71	Professional		$66.07	$79.43	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $83.18	Professional		$30.90	$52.48	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62