Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.47 / $89.47 / $89.47	Facility		$89.47	$89.47	$89.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $89.47 / $117.36	Professional		$80.89	$89.47	$117.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $141.63	Facility		$80.45	$80.45	$141.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.25 / $149.25 / $186.56	Professional		$149.25	$149.25	$186.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $174.36 / $675.46	Facility		$111.84	$174.36	$675.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $98.30 / $160.72	Professional		$58.32	$98.30	$160.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.77 / $141.63 / $247.10	Facility		$117.77	$141.63	$247.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.24 / $146.34 / $307.77	Professional		$128.24	$146.34	$307.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $167.66 / $199.29	Professional		$143.19	$167.66	$199.29
United Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $114.11 / $152.82	Professional		$51.30	$114.11	$152.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.18 / $126.18 / $126.18	Professional		$126.18	$126.18	$126.18