Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.98 / $93.98 / $93.98	Facility		$93.98	$93.98	$93.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $93.98 / $100.74	Professional		$93.98	$93.98	$100.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $220.00 / $275.00	Facility		$220.00	$220.00	$275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $213.75	Professional		$171.00	$171.00	$213.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.60 / $170.25 / $276.02	Facility		$144.60	$170.25	$276.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $117.42 / $1,295.07	Professional		$58.71	$117.42	$1,295.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $167.90 / $212.10	Facility		$161.63	$167.90	$212.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.78 / $164.39 / $322.67	Professional		$134.78	$164.39	$322.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $147.37 / $195.06	Professional		$122.92	$147.37	$195.06
United Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $73.52 / $122.53	Professional		$48.93	$73.52	$122.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Professional		$132.63	$132.63	$132.63