Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $164.32 / $164.32	Facility		$164.32	$164.32	$164.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $136.35 / $164.32	Professional		$117.12	$136.35	$164.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.60 / $348.60 / $348.60	Facility		$348.60	$348.60	$348.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $317.26 / $396.58	Professional		$250.90	$317.26	$396.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.98 / $197.93 / $320.91	Facility		$164.98	$197.93	$320.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $104.89 / $342.74	Professional		$89.15	$104.89	$342.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $225.58 / $332.79 / $447.51	Facility		$225.58	$332.79	$447.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $339.31 / $383.10	Professional		$209.77	$339.31	$383.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $249.98 / $421.17 / $480.24	Professional		$249.98	$421.17	$480.24
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $89.15 / $174.81	Professional		$73.42	$89.15	$174.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Professional		$174.81	$174.81	$174.81