Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.12 / $109.12 / $109.12	Facility		$109.12	$109.12	$109.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $93.34 / $114.72	Professional		$84.85	$93.34	$114.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $197.59	Facility		$102.60	$102.60	$197.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $184.07 / $227.81	Professional		$182.25	$184.07	$227.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.77 / $191.74 / $744.59	Facility		$122.77	$191.74	$744.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $111.63 / $187.95	Professional		$66.86	$111.63	$187.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $197.59 / $271.14	Facility		$164.30	$197.59	$271.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $200.38 / $377.61	Professional		$161.84	$200.38	$377.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $163.88 / $194.79	Professional		$139.99	$163.88	$194.79
United Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $111.63 / $167.70	Professional		$58.74	$111.63	$167.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $176.04 / $176.04 / $176.04	Professional		$176.04	$176.04	$176.04