Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $114.82	Professional		$61.66	$87.10	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $173.78	Facility		$100.00	$100.00	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $229.09	Professional		$181.97	$181.97	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $158.49 / $295.12	Facility		$120.23	$158.49	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $794.33	Professional		$63.10	$100.00	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $173.78	Professional		$144.54	$169.82	$173.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $281.84	Professional		$144.54	$144.54	$281.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $208.93	Professional		$131.83	$158.49	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $165.96	Professional		$63.10	$79.43	$165.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88