Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $102.53 / $102.53	Facility		$102.53	$102.53	$102.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $92.25 / $102.53	Professional		$82.50	$92.25	$102.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $161.52	Facility		$83.71	$83.71	$161.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $213.75	Professional		$171.00	$171.00	$213.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.34 / $172.38 / $688.05	Facility		$116.34	$172.38	$688.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $99.25 / $175.49	Professional		$59.44	$99.25	$175.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.31 / $161.52 / $253.58	Facility		$134.31	$161.52	$253.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $167.87 / $383.12	Professional		$146.25	$167.87	$383.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $145.71 / $173.20	Professional		$124.45	$145.71	$173.20
United Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $76.91 / $124.06	Professional		$51.62	$76.91	$124.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $139.50 / $139.50	Professional		$139.50	$139.50	$139.50