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 $89.26 / $107.56 / $107.56	Professional		$89.26	$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 $164.68 / $208.24 / $260.30	Professional		$164.68	$208.24	$260.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.99 / $129.57 / $210.08	Facility		$107.99	$129.57	$210.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $102.99 / $224.37	Professional		$58.36	$102.99	$224.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.66 / $186.98 / $250.78	Facility		$147.66	$186.98	$250.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $222.08 / $250.78	Professional		$137.32	$222.08	$250.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $275.70 / $314.36	Professional		$163.63	$275.70	$314.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $151.05	Professional		$48.06	$68.66	$151.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43