Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $164.32 / $164.32	Facility		$164.32	$164.32	$164.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $136.35 / $164.32	Professional		$117.12	$136.35	$164.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.60 / $348.60 / $348.60	Facility		$348.60	$348.60	$348.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $317.26 / $396.58	Professional		$250.90	$317.26	$396.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.98 / $197.93 / $320.91	Facility		$164.98	$197.93	$320.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $104.89 / $320.52	Professional		$89.78	$104.89	$320.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $225.58 / $320.52 / $383.10	Facility		$225.58	$320.52	$383.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $320.52 / $376.42	Professional		$209.77	$320.52	$376.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $209.57 / $408.20 / $480.24	Professional		$209.57	$408.20	$480.24
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $89.78 / $174.81	Professional		$73.42	$89.78	$174.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Professional		$174.81	$174.81	$174.81