Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.14 / $94.14 / $94.14	Facility		$94.14	$94.14	$94.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $81.37 / $123.49	Professional		$70.56	$81.37	$123.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $149.04	Facility		$81.70	$86.88	$149.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $157.13 / $196.41	Professional		$157.13	$157.13	$196.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.26 / $183.46 / $722.40	Facility		$104.26	$183.46	$722.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $103.43 / $170.68	Professional		$61.37	$103.43	$170.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.92 / $149.04 / $259.99	Facility		$123.92	$149.04	$259.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $153.97 / $323.83	Professional		$134.94	$153.97	$323.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $176.41 / $209.70	Professional		$150.68	$176.41	$209.70
United Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $78.86 / $150.21	Professional		$52.92	$78.86	$150.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $132.78 / $132.78	Professional		$132.78	$132.78	$132.78