Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.05 / $241.53 / $250.55	Facility		$90.05	$241.53	$250.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $101.79 / $258.99	Professional		$64.19	$101.79	$258.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.27 / $191.27 / $191.27	Facility		$191.27	$191.27	$191.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $173.64 / $217.06	Professional		$134.38	$173.64	$217.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.79 / $136.41 / $184.86	Facility		$91.79	$136.41	$184.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $59.53 / $175.65	Professional		$57.48	$59.53	$175.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.63 / $189.10 / $257.66	Facility		$123.63	$189.10	$257.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $175.65 / $249.59	Professional		$114.96	$175.65	$249.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.96 / $230.81 / $263.18	Professional		$138.96	$230.81	$263.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $57.48 / $86.22	Professional		$40.24	$57.48	$86.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $95.80 / $95.80	Professional		$95.80	$95.80	$95.80