Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.66 / $155.66 / $155.66	Facility		$155.66	$155.66	$155.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $155.66 / $155.66	Professional		$110.96	$155.66	$155.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.32 / $330.32 / $330.32	Facility		$330.32	$330.32	$330.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.39 / $300.94 / $376.18	Professional		$190.39	$300.94	$376.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.66 / $215.29 / $786.65	Facility		$158.66	$215.29	$786.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $149.05 / $277.98	Professional		$94.51	$149.05	$277.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.71 / $303.67 / $483.00	Facility		$213.71	$303.67	$483.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.28 / $300.22 / $432.24	Professional		$204.28	$300.22	$432.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $195.95 / $386.72 / $454.96	Professional		$195.95	$386.72	$454.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $149.05 / $188.73	Professional		$69.56	$149.05	$188.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $165.61 / $165.61	Professional		$165.61	$165.61	$165.61