Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.37 / $169.37 / $169.37	Facility		$169.37	$169.37	$169.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.66 / $169.37 / $177.67	Professional		$125.66	$169.37	$177.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $220.02	Facility		$142.94	$142.94	$220.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.75 / $282.75 / $353.44	Professional		$282.75	$282.75	$353.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.93 / $263.98 / $1,059.51	Facility		$153.93	$263.98	$1,059.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $152.69 / $259.89	Professional		$97.10	$152.69	$259.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $182.95 / $220.02 / $383.86	Facility		$182.95	$220.02	$383.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $223.12 / $465.93	Professional		$199.21	$223.12	$465.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $216.79 / $253.81 / $301.69	Professional		$216.79	$253.81	$301.69
United Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $129.66 / $237.39	Professional		$78.14	$129.66	$237.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $196.02 / $196.02	Professional		$196.02	$196.02	$196.02