Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.64 / $107.64 / $107.64	Facility		$107.64	$107.64	$107.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $101.18 / $114.93	Professional		$64.95	$101.18	$114.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $198.95	Facility		$133.72	$133.72	$198.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $162.11 / $200.63	Professional		$160.50	$162.11	$200.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $198.74 / $620.42	Facility		$122.22	$198.74	$620.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $124.80 / $232.38	Professional		$78.00	$124.80	$232.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.95 / $201.61 / $271.36	Facility		$198.95	$201.61	$271.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $214.81 / $418.67	Professional		$198.59	$214.81	$418.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $155.85 / $168.17	Professional		$134.47	$155.85	$168.17
United Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $109.97 / $167.92	Professional		$24.17	$109.97	$167.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $177.24 / $177.24	Professional		$177.24	$177.24	$177.24