Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.29 / $151.29 / $151.29	Facility		$151.29	$151.29	$151.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $121.12 / $131.80	Professional		$63.96	$121.12	$131.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $212.08	Facility		$138.33	$138.33	$212.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.38 / $252.38 / $315.47	Professional		$252.38	$252.38	$315.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.80 / $222.74 / $969.09	Facility		$131.80	$222.74	$969.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $122.90 / $228.83	Professional		$76.81	$122.90	$228.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $176.34 / $212.08 / $370.00	Facility		$176.34	$212.08	$370.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.70 / $215.07 / $405.28	Professional		$173.70	$215.07	$405.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $160.82 / $188.28 / $223.80	Professional		$160.82	$188.28	$223.80
United Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $106.79 / $160.31	Professional		$75.31	$106.79	$160.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $188.94 / $188.94 / $188.94	Professional		$188.94	$188.94	$188.94