Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.84 / $115.84 / $115.84	Facility		$115.84	$115.84	$115.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $104.83 / $115.84	Professional		$92.42	$104.83	$115.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $183.56	Facility		$112.36	$112.36	$183.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.55 / $193.13 / $241.41	Professional		$178.55	$193.13	$241.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.05 / $156.19 / $701.53	Facility		$114.05	$156.19	$701.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $86.18 / $183.01	Professional		$53.86	$86.18	$183.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $183.56 / $259.44	Facility		$152.63	$183.56	$259.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $186.14 / $350.77	Professional		$150.34	$186.14	$350.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $132.03 / $156.94	Professional		$112.77	$132.03	$156.94
United Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $78.69 / $112.41	Professional		$52.81	$78.69	$112.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $163.53 / $163.53 / $163.53	Professional		$163.53	$163.53	$163.53