Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $107.15	Professional		$57.54	$83.18	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $165.96	Facility		$83.18	$83.18	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $213.80	Professional		$169.82	$169.82	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $147.91 / $281.84	Facility		$114.82	$147.91	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $741.31	Professional		$58.88	$100.00	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $162.18	Professional		$134.90	$162.18	$162.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $269.15	Professional		$134.90	$134.90	$269.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $199.53	Professional		$123.03	$147.91	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $158.49	Professional		$58.88	$74.13	$158.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04