Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.30 / $96.30 / $96.30	Facility		$96.30	$96.30	$96.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $96.30 / $102.83	Professional		$87.07	$96.30	$102.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $152.46	Facility		$89.65	$89.65	$152.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $160.50 / $200.63	Professional		$160.50	$160.50	$200.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.83 / $173.78 / $737.38	Facility		$102.83	$173.78	$737.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $95.88 / $164.49	Professional		$59.93	$95.88	$164.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $152.46 / $265.97	Facility		$126.76	$152.46	$265.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $154.60 / $291.33	Professional		$128.22	$154.60	$291.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $146.90 / $174.62	Professional		$125.48	$146.90	$174.62
United Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $76.76 / $125.08	Professional		$54.14	$76.76	$125.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $135.83 / $135.83	Professional		$135.83	$135.83	$135.83