Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $123.01 / $123.01	Facility		$123.01	$123.01	$123.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $99.69 / $137.54	Professional		$96.38	$99.69	$137.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $168.77	Facility		$97.79	$97.79	$168.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.13 / $205.13 / $256.41	Professional		$205.13	$205.13	$256.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.54 / $204.33 / $804.59	Facility		$137.54	$204.33	$804.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $115.20 / $201.20	Professional		$70.54	$115.20	$201.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $168.77 / $289.58	Facility		$140.32	$168.77	$289.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.80 / $171.50 / $360.70	Professional		$152.80	$171.50	$360.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $196.48 / $233.55	Professional		$167.82	$196.48	$233.55
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $100.37 / $167.29	Professional		$58.94	$100.37	$167.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.36 / $150.36 / $150.36	Professional		$150.36	$150.36	$150.36