Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.62 / $166.62 / $166.62	Facility		$166.62	$166.62	$166.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $138.26 / $166.62	Professional		$118.76	$138.26	$166.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.16 / $353.16 / $353.16	Facility		$353.16	$353.16	$353.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.51 / $321.83 / $402.29	Professional		$254.51	$321.83	$402.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.30 / $200.70 / $325.39	Facility		$167.30	$200.70	$325.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $124.00 / $364.71	Professional		$106.35	$124.00	$364.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $228.73 / $388.45 / $497.08	Facility		$228.73	$388.45	$497.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $361.10 / $497.08	Professional		$212.70	$361.10	$497.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $289.45 / $427.05 / $486.94	Professional		$289.45	$427.05	$486.94
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $106.35 / $177.25	Professional		$74.45	$106.35	$177.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $177.25 / $177.25	Professional		$177.25	$177.25	$177.25