Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.94 / $129.94 / $129.94	Facility		$129.94	$129.94	$129.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $103.57 / $129.94	Professional		$98.53	$103.57	$129.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $172.54	Facility		$132.63	$132.63	$172.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $216.75 / $270.94	Professional		$193.13	$216.75	$270.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.19 / $175.03 / $797.99	Facility		$107.19	$175.03	$797.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $100.78 / $179.82	Professional		$60.36	$100.78	$179.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.46 / $172.54 / $290.76	Facility		$143.46	$172.54	$290.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.31 / $174.97 / $329.72	Professional		$141.31	$174.97	$329.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $147.96 / $175.87	Professional		$126.38	$147.96	$175.87
United Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $88.19 / $179.82	Professional		$59.18	$88.19	$179.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $153.71 / $153.71	Professional		$153.71	$153.71	$153.71