Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.04 / $108.04 / $108.04	Facility		$108.04	$108.04	$108.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $108.04 / $126.42	Professional		$105.32	$108.04	$126.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $184.43	Facility		$86.66	$86.66	$184.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.38 / $182.18 / $225.47	Professional		$180.38	$182.18	$225.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.42 / $187.81 / $735.04	Facility		$126.42	$187.81	$735.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $105.88 / $176.23	Professional		$62.83	$105.88	$176.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $153.35 / $184.43 / $266.16	Facility		$153.35	$184.43	$266.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $187.03 / $352.45	Professional		$157.63	$187.03	$352.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.26 / $180.60 / $214.67	Professional		$154.26	$180.60	$214.67
United Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $83.65 / $153.76	Professional		$54.18	$83.65	$153.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $164.31 / $164.31 / $164.31	Professional		$164.31	$164.31	$164.31