Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.88 / $164.88 / $164.88	Facility		$164.88	$164.88	$164.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.52 / $136.81 / $164.88	Professional		$117.52	$136.81	$164.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $249.90 / $249.90	Facility		$249.90	$249.90	$249.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.54 / $318.57 / $398.21	Professional		$246.54	$318.57	$398.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.54 / $198.61 / $322.00	Facility		$165.54	$198.61	$322.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $105.24 / $321.54	Professional		$89.45	$105.24	$321.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.48 / $228.02 / $384.40	Facility		$210.48	$228.02	$384.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $210.48 / $294.33 / $384.40	Professional		$210.48	$294.33	$384.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $250.82 / $422.59 / $481.86	Professional		$250.82	$422.59	$481.86
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $89.45 / $231.53	Professional		$73.67	$89.45	$231.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $175.40	Professional		$175.40	$175.40	$175.40