Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.56 / $107.56 / $107.56	Facility		$107.56	$107.56	$107.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $107.56 / $107.56	Professional		$107.56	$107.56	$107.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.83 / $227.83 / $227.83	Facility		$227.83	$227.83	$227.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $208.24 / $260.30	Professional		$133.06	$208.24	$260.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.99 / $129.57 / $543.54	Facility		$107.99	$129.57	$543.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $102.99 / $171.65	Professional		$58.36	$102.99	$171.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $217.84 / $224.37	Facility		$137.32	$217.84	$224.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $224.37 / $298.66	Professional		$137.43	$224.37	$298.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $275.70 / $314.36	Professional		$114.43	$275.70	$314.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $137.32	Professional		$48.06	$68.66	$137.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43