Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.96 / $128.96 / $128.96	Facility		$128.96	$128.96	$128.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $128.96 / $138.83	Professional		$110.52	$128.96	$138.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $193.52	Facility		$120.06	$120.06	$193.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.25 / $215.25 / $269.06	Professional		$215.25	$215.25	$269.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.52 / $218.47 / $878.76	Facility		$130.52	$218.47	$878.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $129.44 / $203.09	Professional		$76.83	$129.44	$203.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $193.52 / $325.49	Facility		$160.91	$193.52	$325.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.13 / $196.27 / $369.85	Professional		$173.13	$196.27	$369.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.41 / $198.33 / $235.75	Professional		$169.41	$198.33	$235.75
United Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $101.32 / $168.86	Professional		$66.25	$101.32	$168.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $172.41 / $172.41 / $172.41	Professional		$172.41	$172.41	$172.41