Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $131.83	Professional		$69.18	$93.33	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $199.53	Facility		$102.33	$102.33	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $229.09	Professional		$181.97	$181.97	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $169.82 / $316.23	Facility		$114.82	$169.82	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $912.01	Professional		$64.57	$112.20	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $199.53	Professional		$165.96	$194.98	$199.53
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 $165.96 / $165.96 / $302.00	Professional		$165.96	$165.96	$302.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $223.87	Professional		$141.25	$165.96	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $165.96	Professional		$63.10	$83.18	$165.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83