Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $147.91	Professional		$67.61	$109.65	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $199.53	Facility		$120.23	$120.23	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $269.15	Professional		$213.80	$213.80	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $194.98 / $380.19	Facility		$131.83	$194.98	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $1,000.00	Professional		$77.62	$112.20	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $194.98	Professional		$162.18	$194.98	$194.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $363.08	Professional		$162.18	$162.18	$363.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $269.15	Professional		$169.82	$204.17	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $199.53	Professional		$74.13	$102.33	$199.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78