Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.82 / $96.82 / $96.82	Facility		$96.82	$96.82	$96.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.01 / $96.82 / $96.82	Professional		$69.01	$96.82	$96.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.63 / $205.63 / $205.63	Facility		$205.63	$205.63	$205.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.12 / $186.70 / $233.38	Professional		$118.12	$186.70	$233.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.68 / $163.86 / $489.25	Facility		$98.68	$163.86	$489.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $92.70 / $211.97	Professional		$61.80	$92.70	$211.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $209.86 / $322.91	Facility		$132.91	$209.86	$322.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $228.00 / $295.13	Professional		$132.91	$228.00	$295.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $168.23 / $240.52 / $282.95	Professional		$168.23	$240.52	$282.95
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $92.70 / $123.60	Professional		$43.26	$92.70	$123.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $103.00	Professional		$103.00	$103.00	$103.00