Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $112.80 / $112.80	Facility		$112.80	$112.80	$112.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $93.60 / $112.80	Professional		$80.40	$93.60	$112.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.92 / $238.92 / $238.92	Facility		$238.92	$238.92	$238.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $218.04 / $272.54	Professional		$172.43	$218.04	$272.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.26 / $135.88 / $220.30	Facility		$113.26	$135.88	$220.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $72.00 / $220.04	Professional		$61.20	$72.00	$220.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.85 / $220.04 / $266.67	Facility		$154.85	$220.04	$266.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $220.04 / $262.99	Professional		$144.00	$220.04	$262.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $171.60 / $289.12 / $329.66	Professional		$171.60	$289.12	$329.66
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $61.20 / $120.00	Professional		$50.40	$61.20	$120.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00