Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $102.18	Facility		$102.18	$102.18	$102.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $95.36 / $102.18	Professional		$76.04	$95.36	$102.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $166.98	Facility		$92.98	$92.98	$166.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $172.33 / $213.28	Professional		$170.63	$172.33	$213.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.73 / $166.49 / $659.83	Facility		$103.73	$166.49	$659.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $92.47 / $173.52	Professional		$57.80	$92.47	$173.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.84 / $166.98 / $242.97	Facility		$138.84	$166.98	$242.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $169.33 / $319.08	Professional		$136.75	$169.33	$319.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.01 / $141.66 / $168.40	Professional		$121.01	$141.66	$168.40
United Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $75.73 / $150.27	Professional		$49.46	$75.73	$150.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.76 / $148.76 / $148.76	Professional		$148.76	$148.76	$148.76