Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.39 / $91.39 / $91.39	Facility		$91.39	$91.39	$91.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $75.83 / $91.39	Professional		$65.14	$75.83	$91.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.88 / $193.88 / $193.88	Facility		$193.88	$193.88	$193.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $176.91 / $221.14	Professional		$139.90	$176.91	$221.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.76 / $110.09 / $178.48	Facility		$91.76	$110.09	$178.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $58.33 / $178.26	Professional		$49.58	$58.33	$178.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.46 / $178.26 / $216.05	Facility		$125.46	$178.26	$216.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $178.26 / $213.06	Professional		$116.66	$178.26	$213.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $234.23 / $267.08	Professional		$139.02	$234.23	$267.08
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $58.33 / $87.50	Professional		$40.83	$58.33	$87.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $97.22 / $97.22	Professional		$97.22	$97.22	$97.22