Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $162.18	Facility		$134.90	$134.90	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $162.18	Professional		$95.50	$107.15	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $338.84	Professional		$199.53	$275.42	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $263.03	Facility		$134.90	$162.18	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $707.95	Professional		$72.44	$85.11	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $389.05	Professional		$204.17	$331.13	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $162.18	Professional		$60.26	$85.11	$162.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25