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 $112.90 / $124.19 / $140.49	Professional		$112.90	$124.19	$140.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $213.42	Facility		$106.02	$127.07	$213.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $236.72 / $292.97	Professional		$234.38	$236.72	$292.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.68 / $231.90 / $939.42	Facility		$136.68	$231.90	$939.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $133.53 / $221.78	Professional		$79.97	$133.53	$221.78
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 $212.80 / $221.78 / $522.78	Professional		$212.80	$221.78	$522.78
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 / $104.94 / $202.19	Professional		$70.43	$104.94	$202.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $184.32 / $184.32	Professional		$184.32	$184.32	$184.32