Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.16 / $117.16 / $117.16	Facility		$117.16	$117.16	$117.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $97.22 / $117.16	Professional		$83.51	$97.22	$117.16
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 $117.63 / $141.13 / $589.04	Facility		$117.63	$141.13	$589.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $74.78 / $294.52	Professional		$42.67	$74.78	$294.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $149.57 / $166.29 / $273.16	Facility		$149.57	$166.29	$273.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $164.73 / $273.16	Professional		$149.57	$164.73	$273.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $178.24 / $300.30 / $342.41	Professional		$178.24	$300.30	$342.41
United Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $52.35 / $124.64	Professional		$42.67	$52.35	$124.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $124.64 / $124.64	Professional		$124.64	$124.64	$124.64