Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.99 / $158.99 / $158.99	Facility		$158.99	$158.99	$158.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $123.78 / $158.99	Professional		$122.47	$123.78	$158.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $216.74	Facility		$111.95	$111.95	$216.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.37 / $265.13 / $331.41	Professional		$228.37	$265.13	$331.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.66 / $206.97 / $949.34	Facility		$134.66	$206.97	$949.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $114.20 / $216.10	Professional		$71.38	$114.20	$216.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.21 / $216.74 / $343.81	Facility		$180.21	$216.74	$343.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.52 / $219.79 / $414.18	Professional		$177.52	$219.79	$414.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $174.96 / $207.97	Professional		$149.44	$174.96	$207.97
United Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $104.28 / $223.41	Professional		$69.98	$104.28	$223.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.10 / $193.10 / $193.10	Professional		$193.10	$193.10	$193.10