Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.22 / $272.24 / $674.35	Facility		$92.22	$272.24	$674.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $92.22 / $92.22	Professional		$65.73	$92.22	$92.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.84 / $195.84 / $195.84	Facility		$195.84	$195.84	$195.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $178.21 / $222.77	Professional		$112.75	$178.21	$222.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.99 / $111.08 / $466.02	Facility		$93.99	$111.08	$466.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $88.30 / $132.54	Professional		$45.06	$88.30	$132.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $179.90 / $228.25	Facility		$126.60	$179.90	$228.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $175.26 / $256.07	Professional		$97.39	$175.26	$256.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $229.10 / $269.52	Professional		$105.18	$229.10	$269.52
United Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $88.30 / $98.11	Professional		$41.21	$88.30	$98.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11