Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.79 / $108.79 / $108.79	Facility		$108.79	$108.79	$108.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $93.16 / $108.79	Professional		$85.61	$93.16	$108.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $149.91	Facility		$85.16	$85.16	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.72 / $181.50 / $226.88	Professional		$173.72	$181.50	$226.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.16 / $157.44 / $717.68	Facility		$93.16	$157.44	$717.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $86.87 / $161.75	Professional		$54.30	$86.87	$161.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $149.91 / $261.52	Facility		$124.64	$149.91	$261.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $152.03 / $286.47	Professional		$122.77	$152.03	$286.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $133.09 / $158.19	Professional		$113.67	$133.09	$158.19
United Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $79.31 / $120.77	Professional		$53.24	$79.31	$120.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47