Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.98 / $118.98 / $118.98	Facility		$118.98	$118.98	$118.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $93.94 / $110.55	Professional		$83.24	$93.94	$110.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $164.49	Facility		$95.80	$96.73	$164.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.38 / $198.38 / $247.97	Professional		$198.38	$198.38	$247.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $168.62 / $766.63	Facility		$109.21	$168.62	$766.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $106.26 / $173.37	Professional		$63.65	$106.26	$173.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $136.79 / $164.49 / $280.33	Facility		$136.79	$164.49	$280.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $166.82 / $314.37	Professional		$136.18	$166.82	$314.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.27 / $156.01 / $185.44	Professional		$133.27	$156.01	$185.44
United Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $80.91 / $132.83	Professional		$57.06	$80.91	$132.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $146.55 / $146.55	Professional		$146.55	$146.55	$146.55