Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.85 / $130.85 / $130.85	Facility		$130.85	$130.85	$130.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $123.26 / $130.85	Professional		$120.62	$123.26	$130.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $215.83	Facility		$121.82	$121.82	$215.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.25 / $218.25 / $272.81	Professional		$218.25	$218.25	$272.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.08 / $203.85 / $928.37	Facility		$134.08	$203.85	$928.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $112.47 / $215.20	Professional		$70.30	$112.47	$215.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $215.83 / $338.60	Facility		$179.44	$215.83	$338.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $218.85 / $412.39	Professional		$176.75	$218.85	$412.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $172.31 / $204.82	Professional		$147.18	$172.31	$204.82
United Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $97.88 / $188.31	Professional		$68.92	$97.88	$188.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $192.29 / $192.29	Professional		$192.29	$192.29	$192.29