Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.37 / $162.37 / $162.37	Facility		$162.37	$162.37	$162.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $134.72 / $162.37	Professional		$115.73	$134.72	$162.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.68 / $344.68 / $344.68	Facility		$344.68	$344.68	$344.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.32 / $314.00 / $392.50	Professional		$248.32	$314.00	$392.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.02 / $195.58 / $317.10	Facility		$163.02	$195.58	$317.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $104.46 / $316.72	Professional		$103.64	$104.46	$316.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $222.90 / $331.82 / $418.77	Facility		$222.90	$331.82	$418.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $316.72 / $427.81	Professional		$207.28	$316.72	$427.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $243.85 / $406.42 / $474.52	Professional		$243.85	$406.42	$474.52
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $104.46 / $228.00	Professional		$72.55	$104.46	$228.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $172.73 / $172.73	Professional		$172.73	$172.73	$172.73