Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.49 / $122.49 / $122.49	Facility		$122.49	$122.49	$122.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $124.11 / $160.69	Professional		$122.49	$124.11	$160.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $217.32	Facility		$110.16	$110.16	$217.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $206.42 / $255.47	Professional		$204.38	$206.42	$255.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $238.73 / $918.20	Facility		$153.13	$238.73	$918.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $134.59 / $233.85	Professional		$79.86	$134.59	$233.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.70 / $217.32 / $338.30	Facility		$180.70	$217.32	$338.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $220.37 / $421.40	Professional		$196.76	$220.37	$421.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $196.08 / $229.55 / $272.86	Professional		$196.08	$229.55	$272.86
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $102.61 / $195.45	Professional		$68.86	$102.61	$195.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.61 / $193.61 / $193.61	Professional		$193.61	$193.61	$193.61