Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.58 / $102.58 / $102.58	Facility		$102.58	$102.58	$102.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $85.12 / $102.58	Professional		$73.12	$85.12	$102.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.38 / $217.38 / $217.38	Facility		$217.38	$217.38	$217.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $197.80 / $247.25	Professional		$156.41	$197.80	$247.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $123.57 / $200.35	Facility		$103.00	$123.57	$200.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $76.34 / $224.55	Professional		$65.48	$76.34	$224.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.83 / $239.17 / $306.04	Facility		$140.83	$239.17	$306.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $222.34 / $306.04	Professional		$130.96	$222.34	$306.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $178.21 / $262.93 / $299.80	Professional		$178.21	$262.93	$299.80
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $65.48 / $109.13	Professional		$45.83	$65.48	$109.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $109.13 / $109.13	Professional		$109.13	$109.13	$109.13