Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.66 / $181.66 / $181.66	Facility		$181.66	$181.66	$181.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $150.74 / $181.66	Professional		$129.47	$150.74	$181.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.15 / $385.15 / $385.15	Facility		$385.15	$385.15	$385.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.23 / $350.55 / $438.19	Professional		$277.23	$350.55	$438.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.40 / $218.82 / $354.78	Facility		$182.40	$218.82	$354.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $115.95 / $354.34	Professional		$101.27	$115.95	$354.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.38 / $354.34 / $423.53	Facility		$249.38	$354.34	$423.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.90 / $354.34 / $423.53	Professional		$231.90	$354.34	$423.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $236.39 / $451.26 / $530.90	Professional		$236.39	$451.26	$530.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $101.27 / $193.25	Professional		$81.17	$101.27	$193.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $193.25 / $193.25	Professional		$193.25	$193.25	$193.25