Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $338.84 / $776.25	Facility		$114.82	$338.84	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $144.54	Professional		$81.28	$112.20	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $295.12	Professional		$169.82	$234.42	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $223.87	Facility		$114.82	$138.04	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $616.60	Professional		$72.44	$77.62	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $331.13	Professional		$173.78	$281.84	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $151.36	Professional		$51.29	$77.62	$151.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03