Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.88 / $107.88 / $107.88	Facility		$107.88	$107.88	$107.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $101.49 / $107.88	Professional		$91.20	$101.49	$107.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $159.69	Facility		$100.43	$100.43	$159.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $225.00	Professional		$180.00	$180.00	$225.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $171.52 / $757.74	Facility		$101.49	$171.52	$757.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $94.64 / $172.31	Professional		$59.15	$94.64	$172.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.78 / $159.69 / $278.58	Facility		$132.78	$159.69	$278.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $161.94 / $305.14	Professional		$130.79	$161.94	$305.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $144.99 / $172.34	Professional		$123.85	$144.99	$172.34
United Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $84.50 / $172.31	Professional		$56.71	$84.50	$172.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $142.27 / $142.27	Professional		$142.27	$142.27	$142.27