Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.79 / $89.79 / $89.79	Facility		$89.79	$89.79	$89.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $89.79 / $89.79	Professional		$64.00	$89.79	$89.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.62 / $190.62 / $190.62	Facility		$190.62	$190.62	$190.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.86 / $173.64 / $217.06	Professional		$109.86	$173.64	$217.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.52 / $129.44 / $453.72	Facility		$91.52	$129.44	$453.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $85.97 / $166.13	Professional		$56.48	$85.97	$166.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $175.14 / $226.42	Facility		$123.25	$175.14	$226.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.09 / $179.42 / $249.31	Professional		$122.09	$179.42	$249.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $223.05 / $262.41	Professional		$131.84	$223.05	$262.41
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $56.48 / $114.62	Professional		$40.11	$56.48	$114.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $95.52 / $95.52	Professional		$95.52	$95.52	$95.52