Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.38 / $109.38 / $109.38	Facility		$109.38	$109.38	$109.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $98.41 / $109.38	Professional		$92.90	$98.41	$109.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $172.32	Facility		$88.85	$88.85	$172.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.63 / $182.63 / $228.28	Professional		$182.63	$182.63	$228.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.77 / $183.82 / $734.34	Facility		$108.77	$183.82	$734.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $101.42 / $171.81	Professional		$63.39	$101.42	$171.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $172.32 / $269.88	Facility		$143.28	$172.32	$269.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $174.75 / $329.29	Professional		$141.13	$174.75	$329.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $155.38 / $184.69	Professional		$132.72	$155.38	$184.69
United Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $81.84 / $157.43	Professional		$54.94	$81.84	$157.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.52 / $153.52 / $153.52	Professional		$153.52	$153.52	$153.52