Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $128.82 / $128.82	Facility		$102.33	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $128.82	Professional		$61.66	$83.18	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $158.49	Facility		$89.13	$89.13	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $269.15	Professional		$218.78	$218.78	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $263.03	Facility		$107.15	$151.36	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $891.25	Professional		$56.23	$89.13	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $154.88	Professional		$128.82	$154.88	$154.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $251.19	Professional		$128.82	$128.82	$251.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $186.21	Professional		$117.49	$141.25	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $190.55	Professional		$56.23	$77.62	$190.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04