Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.57 / $121.57 / $121.57	Facility		$121.57	$121.57	$121.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.65 / $121.57 / $121.57	Professional		$86.65	$121.57	$121.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.86 / $257.86 / $257.86	Facility		$257.86	$257.86	$257.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.68 / $235.01 / $293.76	Professional		$148.68	$235.01	$293.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.06 / $146.44 / $614.32	Facility		$122.06	$146.44	$614.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $116.40 / $161.49	Professional		$54.91	$116.40	$161.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.90 / $237.14 / $280.11	Facility		$166.90	$237.14	$280.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $215.03 / $337.55	Professional		$118.68	$215.03	$337.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $302.00 / $355.30	Professional		$129.19	$302.00	$355.30
United Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $77.59 / $155.19	Professional		$54.32	$77.59	$155.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $129.33 / $129.33	Professional		$129.33	$129.33	$129.33