Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.91 / $166.91 / $166.91	Facility		$166.91	$166.91	$166.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $166.91 / $166.91	Professional		$118.97	$166.91	$166.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.82 / $353.82 / $353.82	Facility		$353.82	$353.82	$353.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.02 / $322.48 / $403.10	Professional		$204.02	$322.48	$403.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.13 / $209.18 / $843.41	Facility		$170.13	$209.18	$843.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.19 / $159.80 / $268.20	Professional		$91.19	$159.80	$268.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.12 / $325.58 / $355.36	Facility		$229.12	$325.58	$355.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.12 / $325.58 / $463.43	Professional		$229.12	$325.58	$463.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $427.80 / $487.79	Professional		$177.56	$427.80	$487.79
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $159.80 / $177.56	Professional		$74.58	$159.80	$177.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Professional		$177.56	$177.56	$177.56