Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.89 / $114.89 / $114.89	Facility		$114.89	$114.89	$114.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $95.33 / $114.89	Professional		$81.89	$95.33	$114.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.49 / $243.49 / $243.49	Facility		$243.49	$243.49	$243.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.53 / $221.95 / $277.44	Professional		$175.53	$221.95	$277.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $138.38 / $224.38	Facility		$115.36	$138.38	$224.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $85.51 / $251.49	Professional		$73.33	$85.51	$251.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.72 / $267.86 / $342.77	Facility		$157.72	$267.86	$342.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $249.00 / $342.77	Professional		$146.66	$249.00	$342.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.58 / $294.45 / $335.76	Professional		$199.58	$294.45	$335.76
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $85.51 / $122.22	Professional		$51.33	$85.51	$122.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Professional		$122.22	$122.22	$122.22