Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.64 / $192.28 / $473.10	Facility		$89.64	$192.28	$473.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $142.63 / $393.30	Professional		$92.71	$142.63	$393.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.36 / $284.36 / $284.36	Facility		$284.36	$284.36	$284.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.46 / $259.02 / $323.79	Professional		$200.46	$259.02	$323.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.65 / $171.96 / $283.42	Facility		$136.65	$171.96	$283.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $89.75 / $263.97	Professional		$85.58	$89.75	$263.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $184.06 / $285.08 / $365.13	Facility		$184.06	$285.08	$365.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $261.52 / $367.54	Professional		$171.16	$261.52	$367.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $343.64 / $391.83	Professional		$209.50	$343.64	$391.83
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $89.75 / $142.63	Professional		$59.90	$89.75	$142.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63