Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.01 / $121.01 / $121.01	Facility		$121.01	$121.01	$121.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $100.41 / $121.01	Professional		$86.25	$100.41	$121.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.55 / $256.55 / $256.55	Facility		$256.55	$256.55	$256.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $233.70 / $292.13	Professional		$180.86	$233.70	$292.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.34 / $197.39 / $236.33	Facility		$123.34	$197.39	$236.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $90.06 / $264.87	Professional		$77.23	$90.06	$264.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.12 / $282.12 / $357.65	Facility		$166.12	$282.12	$357.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $262.26 / $357.65	Professional		$154.47	$262.26	$357.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $210.22 / $310.14 / $353.65	Professional		$210.22	$310.14	$353.65
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $90.06 / $115.86	Professional		$54.07	$90.06	$115.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Professional		$128.72	$128.72	$128.72