Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.49 / $140.49 / $140.49	Facility		$140.49	$140.49	$140.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $108.29 / $137.22	Professional		$93.90	$108.29	$137.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $213.42	Facility		$112.67	$112.67	$213.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $234.38 / $292.97	Professional		$234.38	$234.38	$292.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.22 / $212.80 / $939.42	Facility		$137.22	$212.80	$939.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $127.95 / $213.99	Professional		$79.97	$127.95	$213.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.46 / $213.42 / $346.02	Facility		$177.46	$213.42	$346.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $216.44 / $407.85	Professional		$174.82	$216.44	$407.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $167.44 / $196.03 / $233.01	Professional		$167.44	$196.03	$233.01
United Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $133.53 / $166.91	Professional		$70.43	$133.53	$166.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $184.32 / $184.32	Professional		$184.32	$184.32	$184.32