Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $158.49 / $158.49	Facility		$128.82	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $158.49	Professional		$87.10	$107.15	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $218.78	Facility		$112.20	$112.20	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $331.13	Professional		$263.03	$263.03	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $338.84	Facility		$151.36	$194.98	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $1,148.15	Professional		$70.79	$114.82	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $218.78	Professional		$181.97	$213.80	$218.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $323.59	Professional		$181.97	$181.97	$323.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $239.88	Professional		$147.91	$177.83	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $234.42	Professional		$70.79	$100.00	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98