Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.16 / $263.55 / $441.00	Facility		$86.16	$263.55	$441.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $86.16 / $96.36	Professional		$61.41	$86.16	$96.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.78 / $182.78 / $182.78	Facility		$182.78	$182.78	$182.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $166.46 / $208.08	Professional		$131.63	$166.46	$208.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.52 / $103.78 / $168.26	Facility		$86.52	$103.78	$168.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $64.13 / $188.61	Professional		$55.00	$64.13	$188.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.28 / $200.88 / $257.08	Facility		$118.28	$200.88	$257.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $186.75 / $257.08	Professional		$109.99	$186.75	$257.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $220.84 / $251.81	Professional		$149.69	$220.84	$251.81
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $64.13 / $91.66	Professional		$38.50	$64.13	$91.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $91.66	Professional		$91.66	$91.66	$91.66