Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.06 / $237.38 / $301.77	Facility		$158.06	$237.38	$301.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $56.20 / $248.31	Professional		$50.11	$56.20	$248.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.38 / $123.38 / $123.38	Facility		$123.38	$123.38	$123.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $112.93 / $141.16	Professional		$71.45	$112.93	$141.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.39 / $99.38 / $296.01	Facility		$59.39	$99.38	$296.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $43.36 / $86.59	Professional		$37.19	$43.36	$86.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $126.28 / $191.73	Facility		$79.98	$126.28	$191.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $137.72 / $177.58	Professional		$79.98	$137.72	$177.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $149.33 / $170.27	Professional		$92.97	$149.33	$170.27
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $55.78 / $81.81	Professional		$26.03	$55.78	$81.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Professional		$61.98	$61.98	$61.98