Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.38 / $117.38 / $117.38	Facility		$117.38	$117.38	$117.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $117.38 / $127.99	Professional		$83.66	$117.38	$127.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.72 / $248.72 / $248.72	Facility		$248.72	$248.72	$248.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $226.52 / $283.14	Professional		$175.30	$226.52	$283.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.63 / $141.38 / $229.23	Facility		$119.63	$141.38	$229.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.13 / $74.92 / $228.97	Professional		$64.13	$74.92	$228.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.13 / $228.97 / $273.66	Facility		$161.13	$228.97	$273.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $209.54 / $273.66	Professional		$149.84	$209.54	$273.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $178.56 / $300.85 / $343.04	Professional		$178.56	$300.85	$343.04
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $64.13 / $124.87	Professional		$52.45	$64.13	$124.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $124.87 / $124.87	Professional		$124.87	$124.87	$124.87