Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.08 / $126.08 / $126.08	Facility		$126.08	$126.08	$126.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $126.08 / $126.08	Professional		$104.62	$126.08	$126.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.64 / $267.64 / $267.64	Facility		$267.64	$267.64	$267.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $244.15 / $305.18	Professional		$193.08	$244.15	$305.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $151.88 / $246.24	Facility		$126.60	$151.88	$246.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $80.48 / $262.47	Professional		$68.41	$80.48	$262.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $245.29 / $293.97	Facility		$173.09	$245.29	$293.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $245.29 / $293.97	Professional		$160.96	$245.29	$293.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $191.81 / $323.16 / $368.48	Professional		$191.81	$323.16	$368.48
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $68.41 / $134.13	Professional		$56.33	$68.41	$134.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $134.13 / $134.13	Professional		$134.13	$134.13	$134.13