Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $110.99 / $110.99	Facility		$110.99	$110.99	$110.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.52 / $110.99 / $117.45	Professional		$83.52	$110.99	$117.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $146.26	Facility		$103.32	$103.32	$146.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.25 / $185.25 / $231.56	Professional		$185.25	$185.25	$231.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.45 / $174.48 / $709.25	Facility		$117.45	$174.48	$709.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $100.72 / $171.81	Professional		$63.64	$100.72	$171.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.61 / $146.26 / $253.20	Facility		$121.61	$146.26	$253.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $148.30 / $308.00	Professional		$132.41	$148.30	$308.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $167.78 / $199.44	Professional		$143.31	$167.78	$199.44
United Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $85.71 / $142.85	Professional		$51.54	$85.71	$142.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $130.30 / $130.30	Professional		$130.30	$130.30	$130.30