Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.78 / $128.78 / $128.78	Facility		$128.78	$128.78	$128.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $116.45 / $334.77	Professional		$82.20	$116.45	$334.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.87 / $272.87 / $272.87	Facility		$272.87	$272.87	$272.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.99 / $249.37 / $311.70	Professional		$192.99	$249.37	$311.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.30 / $155.13 / $251.50	Facility		$129.30	$155.13	$251.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $82.20 / $251.21	Professional		$69.87	$82.20	$251.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $176.79 / $251.21 / $350.72	Facility		$176.79	$251.21	$350.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $229.89 / $300.25	Professional		$164.40	$229.89	$300.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $195.91 / $330.07 / $376.37	Professional		$195.91	$330.07	$376.37
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.87 / $137.00	Professional		$57.54	$69.87	$137.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Professional		$137.00	$137.00	$137.00