Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $61.66	Professional		$30.20	$46.77	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Facility		$109.65	$109.65	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $107.15	Professional		$85.11	$85.11	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $79.43 / $138.04	Facility		$51.29	$79.43	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $645.65	Professional		$29.51	$37.15	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $81.28	Professional		$67.61	$81.28	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $131.83	Professional		$67.61	$67.61	$131.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $97.72	Professional		$63.10	$74.13	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $75.86	Professional		$24.55	$31.62	$75.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07