Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.54 / $112.54 / $112.54	Facility		$112.54	$112.54	$112.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $90.70 / $112.54	Professional		$85.07	$90.70	$112.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $148.94	Facility		$106.22	$106.22	$148.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.13 / $187.88 / $234.84	Professional		$169.13	$187.88	$234.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $153.28 / $729.99	Facility		$92.54	$153.28	$729.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $84.57 / $157.47	Professional		$52.86	$84.57	$157.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.85 / $148.94 / $254.60	Facility		$123.85	$148.94	$254.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.99 / $151.05 / $284.64	Professional		$121.99	$151.05	$284.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $129.57 / $154.01	Professional		$110.67	$129.57	$154.01
United Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $77.22 / $186.27	Professional		$51.83	$77.22	$186.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $132.69 / $132.69	Professional		$132.69	$132.69	$132.69