Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.31 / $141.31 / $141.31	Facility		$141.31	$141.31	$141.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $117.26 / $141.31	Professional		$100.72	$117.26	$141.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.64 / $299.64 / $299.64	Facility		$299.64	$299.64	$299.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.31 / $273.52 / $341.90	Professional		$216.31	$273.52	$341.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.88 / $170.22 / $275.97	Facility		$141.88	$170.22	$275.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $90.20 / $275.64	Professional		$76.67	$90.20	$275.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $275.64 / $334.09	Facility		$194.00	$275.64	$334.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $275.64 / $329.46	Professional		$180.40	$275.64	$329.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $214.97 / $362.19 / $412.99	Professional		$214.97	$362.19	$412.99
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $76.67 / $150.33	Professional		$63.14	$76.67	$150.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $150.33	Professional		$150.33	$150.33	$150.33