Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.17 / $125.17 / $125.17	Facility		$125.17	$125.17	$125.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $126.09 / $156.24	Professional		$125.17	$126.09	$156.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $220.78	Facility		$116.53	$116.53	$220.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.88 / $220.78 / $261.08	Professional		$208.88	$220.78	$261.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.24 / $232.12 / $947.19	Facility		$156.24	$232.12	$947.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $137.52 / $228.56	Professional		$81.59	$137.52	$228.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $183.58 / $220.78 / $345.71	Facility		$183.58	$220.78	$345.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $223.89 / $421.92	Professional		$194.83	$223.89	$421.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.65 / $223.20 / $265.31	Professional		$190.65	$223.20	$265.31
United Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $104.85 / $190.04	Professional		$70.37	$104.85	$190.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $196.70 / $196.70	Professional		$196.70	$196.70	$196.70