Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.47 / $115.47 / $115.47	Facility		$115.47	$115.47	$115.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $115.47 / $118.36	Professional		$95.74	$115.47	$118.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $134.93	Facility		$89.19	$89.19	$134.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $159.75 / $199.69	Professional		$154.50	$159.75	$199.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.43 / $155.16 / $645.28	Facility		$102.43	$155.16	$645.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $80.62 / $143.85	Professional		$48.29	$80.62	$143.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.93 / $232.61	Facility		$112.20	$134.93	$232.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $136.84 / $257.87	Professional		$110.52	$136.84	$257.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $118.36 / $140.69	Professional		$101.09	$118.36	$140.69
United Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $80.62 / $107.41	Professional		$47.34	$80.62	$107.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $120.21 / $120.21	Professional		$120.21	$120.21	$120.21