Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $146.63 / $146.63	Facility		$146.63	$146.63	$146.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $118.55 / $146.63	Professional		$108.94	$118.55	$146.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $190.75	Facility		$144.01	$144.01	$190.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $244.50 / $305.63	Professional		$221.05	$244.50	$305.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.55 / $200.35 / $928.70	Facility		$118.55	$200.35	$928.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $110.54 / $205.82	Professional		$69.09	$110.54	$205.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.61 / $190.75 / $332.78	Facility		$158.61	$190.75	$332.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $193.44 / $364.52	Professional		$156.22	$193.44	$364.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $169.35 / $201.29	Professional		$144.65	$169.35	$201.29
United Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $100.93 / $144.19	Professional		$67.73	$100.93	$144.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.94 / $169.94 / $169.94	Professional		$169.94	$169.94	$169.94