Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $152.16 / $152.16	Professional		$108.46	$152.16	$152.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.48 / $322.48 / $322.48	Facility		$322.48	$322.48	$322.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.85 / $293.76 / $367.20	Professional		$185.85	$293.76	$367.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $183.30 / $768.93	Facility		$115.50	$183.30	$768.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $135.56 / $194.26	Professional		$46.09	$135.56	$194.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.05 / $258.93 / $296.83	Facility		$133.05	$258.93	$296.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $194.41 / $422.51	Professional		$99.59	$194.41	$422.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $378.01 / $444.72	Professional		$108.44	$378.01	$444.72
United Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $97.13 / $161.88	Professional		$46.09	$97.13	$161.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $161.88 / $161.88	Professional		$161.88	$161.88	$161.88