Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.29 / $89.29 / $89.29	Facility		$89.29	$89.29	$89.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $74.09 / $89.29	Professional		$63.64	$74.09	$89.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.31 / $189.31 / $189.31	Facility		$189.31	$189.31	$189.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $172.99 / $216.24	Professional		$136.81	$172.99	$216.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $107.55 / $231.82	Facility		$89.65	$107.55	$231.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $56.99 / $174.17	Professional		$48.44	$56.99	$174.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.58 / $174.17 / $211.09	Facility		$122.58	$174.17	$211.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $174.17 / $208.18	Professional		$113.99	$174.17	$208.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $135.84 / $228.86 / $260.95	Professional		$135.84	$228.86	$260.95
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $48.44 / $85.49	Professional		$39.90	$48.44	$85.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $94.99 / $94.99	Professional		$94.99	$94.99	$94.99