Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $114.82	Facility		$87.10	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $134.90	Professional		$64.57	$87.10	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $138.04	Facility		$89.13	$89.13	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $199.53	Professional		$158.49	$158.49	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $323.59	Facility		$112.20	$131.83	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $794.33	Professional		$47.86	$81.28	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $134.90	Professional		$112.20	$134.90	$134.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $218.78	Professional		$112.20	$112.20	$218.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $162.18	Professional		$100.00	$120.23	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $144.54	Professional		$47.86	$81.28	$144.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23