Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.74 / $97.74 / $97.74	Facility		$97.74	$97.74	$97.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $97.74 / $109.18	Professional		$88.21	$97.74	$109.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $174.15	Facility		$128.79	$128.79	$174.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $140.52 / $173.91	Professional		$139.13	$140.52	$173.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $184.51 / $532.72	Facility		$109.51	$184.51	$532.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $131.46 / $206.93	Professional		$78.73	$131.46	$206.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $177.57 / $237.47	Facility		$174.15	$177.57	$237.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $193.36 / $366.29	Professional		$175.00	$193.36	$366.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.60 / $135.12 / $164.86	Professional		$116.60	$135.12	$164.86
United Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $101.48 / $164.33	Professional		$20.96	$101.48	$164.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $155.15 / $155.15	Professional		$155.15	$155.15	$155.15