Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $144.54	Professional		$100.00	$120.23	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $239.88	Facility		$134.90	$134.90	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $302.00	Professional		$245.47	$245.47	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $204.17 / $380.19	Facility		$169.82	$204.17	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $1,258.93	Professional		$81.28	$128.82	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $234.42	Professional		$194.98	$234.42	$234.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $363.08	Professional		$194.98	$194.98	$363.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $269.15	Professional		$169.82	$199.53	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $223.87	Professional		$81.28	$117.49	$223.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93