Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $158.49	Facility		$134.90	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $158.49	Professional		$83.18	$112.20	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $208.93	Facility		$117.49	$117.49	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Professional		$269.15	$269.15	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $346.74	Facility		$141.25	$194.98	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $1,202.26	Professional		$74.13	$117.49	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $204.17	Professional		$169.82	$204.17	$204.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $331.13	Professional		$169.82	$169.82	$331.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $245.47	Professional		$154.88	$186.21	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $234.42	Professional		$74.13	$102.33	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97