Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $135.19 / $135.19	Facility		$135.19	$135.19	$135.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $134.46 / $135.19	Professional		$121.64	$134.46	$135.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $213.00	Facility		$129.63	$129.63	$213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.75 / $228.01 / $282.19	Professional		$225.75	$228.01	$282.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.46 / $212.38 / $906.14	Facility		$134.46	$212.38	$906.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $101.17 / $212.38	Professional		$77.52	$101.17	$212.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.11 / $213.00 / $333.60	Facility		$177.11	$213.00	$333.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $215.99 / $407.05	Professional		$174.46	$215.99	$407.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $164.08 / $192.09 / $228.33	Professional		$164.08	$192.09	$228.33
United Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $130.84 / $206.31	Professional		$72.27	$130.84	$206.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96