Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.95 / $309.95 / $309.95	Facility		$309.95	$309.95	$309.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $73.36 / $73.36	Professional		$73.36	$73.36	$73.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.04 / $218.04 / $218.04	Facility		$218.04	$218.04	$218.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $198.45 / $248.06	Professional		$125.55	$198.45	$248.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $128.77 / $520.08	Facility		$104.90	$128.77	$520.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $98.54 / $131.38	Professional		$37.97	$98.54	$131.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.86 / $200.75 / $255.00	Facility		$108.86	$200.75	$255.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $143.87 / $285.77	Professional		$82.09	$143.87	$285.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $255.67 / $300.79	Professional		$109.49	$255.67	$300.79
United Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $65.69 / $111.71	Professional		$37.97	$65.69	$111.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $109.49 / $109.49	Professional		$109.49	$109.49	$109.49