Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.97 / $117.97 / $117.97	Facility		$117.97	$117.97	$117.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $117.97 / $117.97	Professional		$84.09	$117.97	$117.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.02 / $250.02 / $250.02	Facility		$250.02	$250.02	$250.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $227.83 / $284.77	Professional		$144.13	$227.83	$284.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.25 / $201.20 / $596.13	Facility		$120.25	$201.20	$596.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $112.95 / $258.23	Professional		$75.30	$112.95	$258.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $255.68 / $393.44	Facility		$161.94	$255.68	$393.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $278.00 / $359.54	Professional		$161.94	$278.00	$359.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $293.06 / $344.77	Professional		$204.94	$293.06	$344.77
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $87.80 / $150.60	Professional		$52.71	$87.80	$150.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Professional		$125.50	$125.50	$125.50