Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.29 / $132.74 / $541.91	Facility		$64.29	$132.74	$541.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $112.75 / $132.01	Professional		$102.50	$112.75	$132.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $121.71 / $209.12	Facility		$106.63	$121.71	$209.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.63 / $221.63 / $277.02	Professional		$221.63	$221.63	$277.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.01 / $223.10 / $889.53	Facility		$132.01	$223.10	$889.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $123.10 / $208.52	Professional		$76.94	$123.10	$208.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $209.12 / $327.48	Facility		$173.88	$209.12	$327.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $212.06 / $399.63	Professional		$171.26	$212.06	$399.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.08 / $188.59 / $224.17	Professional		$161.08	$188.59	$224.17
United Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $99.32 / $202.55	Professional		$66.66	$99.32	$202.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.60 / $180.60 / $180.60	Professional		$180.60	$180.60	$180.60