Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $81.28	Professional		$30.20	$60.26	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $177.83	Facility		$141.25	$141.25	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $97.72 / $177.83	Facility		$64.57	$97.72	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $630.96	Professional		$38.02	$47.86	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $104.71	Professional		$87.10	$104.71	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $169.82	Professional		$87.10	$87.10	$169.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $125.89	Professional		$81.28	$95.50	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $97.72	Professional		$31.62	$40.74	$97.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11