Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.57 / $118.57 / $118.57	Facility		$118.57	$118.57	$118.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $85.90 / $116.70	Professional		$47.45	$85.90	$116.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $141.93 / $159.10	Facility		$115.38	$141.93	$159.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $198.00 / $247.50	Professional		$189.40	$198.00	$247.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.57 / $171.65 / $749.92	Facility		$101.57	$171.65	$749.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $94.71 / $169.76	Professional		$59.20	$94.71	$169.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.29 / $159.10 / $274.49	Facility		$132.29	$159.10	$274.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $161.34 / $304.04	Professional		$130.30	$161.34	$304.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $145.10 / $172.47	Professional		$123.94	$145.10	$172.47
United Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $98.83 / $196.24	Professional		$59.20	$98.83	$196.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.75 / $141.75 / $141.75	Professional		$141.75	$141.75	$141.75