Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $158.49 / $158.49	Facility		$154.88	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $158.49	Professional		$100.00	$120.23	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $275.42	Facility		$125.89	$125.89	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $331.13	Professional		$263.03	$263.03	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $398.11	Facility		$169.82	$223.87	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $1,230.27	Professional		$85.11	$134.90	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $269.15	Professional		$223.87	$269.15	$269.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $380.19	Professional		$223.87	$223.87	$380.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $281.84	Professional		$177.83	$213.80	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $239.88	Professional		$85.11	$117.49	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42