Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $378.54 / $449.79	Facility		$79.98	$378.54	$449.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $77.16 / $465.30	Professional		$72.34	$77.16	$465.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $169.73 / $169.73	Facility		$169.73	$169.73	$169.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $154.71 / $193.39	Professional		$109.20	$154.71	$193.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.54 / $131.46 / $322.62	Facility		$81.54	$131.46	$322.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $76.59 / $699.71	Professional		$51.06	$76.59	$699.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.81 / $186.51 / $266.79	Facility		$109.81	$186.51	$266.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $173.36 / $243.79	Professional		$102.12	$173.36	$243.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.96 / $205.03 / $233.79	Professional		$138.96	$205.03	$233.79
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $59.53 / $112.33	Professional		$35.74	$59.53	$112.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $85.10 / $85.10	Professional		$85.10	$85.10	$85.10