Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.53 / $122.53 / $122.53	Facility		$122.53	$122.53	$122.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $101.67 / $122.53	Professional		$87.33	$101.67	$122.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.81 / $259.81 / $259.81	Facility		$259.81	$259.81	$259.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.39 / $236.97 / $296.20	Professional		$183.39	$236.97	$296.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.88 / $201.42 / $254.95	Facility		$124.88	$201.42	$254.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $117.32 / $1,071.80	Professional		$78.20	$117.32	$1,071.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $285.67 / $403.34	Facility		$168.21	$285.67	$403.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $265.54 / $373.42	Professional		$156.41	$265.54	$373.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $212.86 / $314.05 / $358.10	Professional		$212.86	$314.05	$358.10
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $78.20 / $130.35	Professional		$54.75	$78.20	$130.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $130.35 / $130.35	Professional		$130.35	$130.35	$130.35