Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Facility		$106.62	$106.62	$106.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $106.62 / $119.06	Professional		$96.23	$106.62	$119.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $190.12	Facility		$52.17	$52.17	$190.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $153.38 / $189.84	Professional		$151.88	$153.38	$189.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.36 / $201.21 / $580.79	Facility		$119.36	$201.21	$580.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $142.12 / $235.46	Professional		$88.83	$142.12	$235.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $190.12 / $191.04 / $362.96	Facility		$190.12	$191.04	$362.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.04 / $199.12 / $399.85	Professional		$191.04	$199.12	$399.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $147.22 / $173.27	Professional		$127.10	$147.22	$173.27
United Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $110.87 / $187.09	Professional		$22.84	$110.87	$187.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $169.38 / $169.38	Professional		$169.38	$169.38	$169.38