Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $109.07 / $109.07	Facility		$109.07	$109.07	$109.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $108.49 / $109.07	Professional		$98.15	$108.49	$109.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $171.86	Facility		$99.06	$99.06	$171.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $181.88 / $227.34	Professional		$181.88	$181.88	$227.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.49 / $183.35 / $730.97	Facility		$108.49	$183.35	$730.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $101.17 / $171.36	Professional		$63.23	$101.17	$171.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $142.90 / $171.86 / $269.11	Facility		$142.90	$171.86	$269.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $174.29 / $328.42	Professional		$140.76	$174.29	$328.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $154.99 / $184.23	Professional		$132.38	$154.99	$184.23
United Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $79.18 / $131.97	Professional		$54.78	$79.18	$131.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.12 / $153.12 / $153.12	Professional		$153.12	$153.12	$153.12