Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.15 / $130.15 / $130.15	Facility		$130.15	$130.15	$130.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $96.03 / $130.15	Professional		$88.25	$96.03	$130.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $154.54	Facility		$89.11	$89.11	$154.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.07 / $217.13 / $271.41	Professional		$179.07	$217.13	$271.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.03 / $162.29 / $757.36	Facility		$96.03	$162.29	$757.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $89.54 / $166.74	Professional		$55.97	$89.54	$166.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.49 / $154.54 / $269.60	Facility		$128.49	$154.54	$269.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $156.69 / $295.30	Professional		$126.56	$156.69	$295.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $137.19 / $163.08	Professional		$117.18	$137.19	$163.08
United Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $93.45 / $196.68	Professional		$55.97	$93.45	$196.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $137.68 / $137.68	Professional		$137.68	$137.68	$137.68