Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.15 / $134.15 / $134.15	Facility		$134.15	$134.15	$134.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $133.44 / $134.15	Professional		$120.71	$133.44	$134.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $211.37	Facility		$107.78	$107.78	$211.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.88 / $223.88 / $279.83	Professional		$223.88	$223.88	$279.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $225.51 / $899.12	Facility		$107.00	$225.51	$899.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $124.43 / $210.75	Professional		$77.77	$124.43	$210.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $211.37 / $331.01	Facility		$175.75	$211.37	$331.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.11 / $214.34 / $403.90	Professional		$173.11	$214.34	$403.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.83 / $190.63 / $226.60	Professional		$162.83	$190.63	$226.60
United Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $97.39 / $162.32	Professional		$67.38	$97.39	$162.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $182.54 / $182.54 / $182.54	Professional		$182.54	$182.54	$182.54