Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $165.96	Professional		$72.44	$125.89	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $223.87	Facility		$117.49	$117.49	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $263.03	Professional		$208.93	$208.93	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $426.58	Facility		$154.88	$218.78	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $1,148.15	Professional		$81.28	$128.82	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $218.78	Professional		$181.97	$218.78	$218.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $407.38	Professional		$181.97	$181.97	$407.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $302.00	Professional		$190.55	$229.09	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $194.98	Professional		$72.44	$114.82	$194.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98