Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $177.83	Facility		$138.04	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $177.83	Professional		$83.18	$114.82	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $234.42	Facility		$120.23	$120.23	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $371.54	Professional		$295.12	$295.12	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $218.78 / $354.81	Facility		$144.54	$218.78	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $1,122.02	Professional		$75.86	$123.03	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $229.09	Professional		$190.55	$229.09	$229.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $338.84	Professional		$190.55	$190.55	$338.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $251.19	Professional		$158.49	$190.55	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $257.04	Professional		$75.86	$104.71	$257.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17