Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.58 / $155.58 / $155.58	Facility		$155.58	$155.58	$155.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $129.10 / $155.58	Professional		$110.89	$129.10	$155.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.66 / $329.66 / $329.66	Facility		$329.66	$329.66	$329.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.99 / $300.94 / $376.18	Professional		$237.99	$300.94	$376.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.21 / $187.40 / $303.83	Facility		$156.21	$187.40	$303.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $99.31 / $303.48	Professional		$85.09	$99.31	$303.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.57 / $303.48 / $362.73	Facility		$213.57	$303.48	$362.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.61 / $303.48 / $356.73	Professional		$198.61	$303.48	$356.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $198.61 / $386.48 / $454.69	Professional		$198.61	$386.48	$454.69
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $85.09 / $165.51	Professional		$69.51	$85.09	$165.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $165.51 / $165.51	Professional		$165.51	$165.51	$165.51