Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Facility		$62.41	$62.41	$62.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Professional		$62.41	$62.41	$62.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $148.63	Facility		$118.90	$118.90	$148.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $65.15 / $80.63	Professional		$64.50	$65.15	$80.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $101.08 / $131.27	Facility		$59.81	$101.08	$131.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $59.81 / $332.08	Professional		$59.81	$59.81	$332.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.77 / $77.41 / $107.74	Facility		$71.77	$77.41	$107.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $75.95 / $107.74	Professional		$71.77	$75.95	$107.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $68.30 / $68.30	Professional		$68.30	$68.30	$68.30
United Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $62.41 / $68.65	Professional		$59.54	$62.41	$68.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $59.81 / $59.81	Facility		$59.81	$59.81	$59.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $59.81 / $59.81	Professional		$59.81	$59.81	$59.81