Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.05 / $95.05 / $95.05	Facility		$95.05	$95.05	$95.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $95.05 / $158.90	Professional		$67.75	$95.05	$158.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.72 / $201.72 / $201.72	Facility		$201.72	$201.72	$201.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $184.09 / $230.11	Professional		$145.58	$184.09	$230.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.44 / $114.50 / $267.43	Facility		$95.44	$114.50	$267.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $60.67 / $185.41	Professional		$51.57	$60.67	$185.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $185.41 / $224.72	Facility		$130.47	$185.41	$224.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $185.41 / $221.62	Professional		$121.34	$185.41	$221.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $243.63 / $277.80	Professional		$144.60	$243.63	$277.80
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $51.57 / $101.12	Professional		$42.47	$51.57	$101.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $101.12 / $101.12	Professional		$101.12	$101.12	$101.12