Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.59 / $120.59 / $359.61	Facility		$120.59	$120.59	$359.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $111.61 / $347.99	Professional		$67.98	$111.61	$347.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.90 / $255.90 / $255.90	Facility		$255.90	$255.90	$255.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $233.05 / $291.31	Professional		$180.36	$233.05	$291.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.91 / $171.97 / $235.50	Facility		$122.91	$171.97	$235.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $89.75 / $263.97	Professional		$76.97	$89.75	$263.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.55 / $281.16 / $353.58	Facility		$165.55	$281.16	$353.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $261.36 / $334.84	Professional		$153.94	$261.36	$334.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $309.08 / $352.44	Professional		$209.50	$309.08	$352.44
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $89.75 / $174.58	Professional		$53.88	$89.75	$174.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $128.29 / $128.29	Professional		$128.29	$128.29	$128.29