Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $132.74 / $132.74	Facility		$132.74	$132.74	$132.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.85 / $117.54 / $152.63	Professional		$106.85	$117.54	$152.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $209.12	Facility		$118.47	$120.81	$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 $133.91 / $223.10 / $889.53	Facility		$133.91	$223.10	$889.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $141.88 / $202.55	Professional		$76.94	$141.88	$202.55
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 $208.52 / $217.32 / $494.75	Professional		$208.52	$217.32	$494.75
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 / $160.57	Professional		$66.66	$99.32	$160.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.60 / $180.60 / $180.60	Professional		$180.60	$180.60	$180.60