Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.54 / $129.54 / $129.54	Facility		$129.54	$129.54	$129.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $129.54 / $152.66	Professional		$120.11	$129.54	$152.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $169.28	Facility		$100.03	$100.03	$169.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.25 / $179.25 / $224.06	Professional		$179.25	$179.25	$224.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $218.92 / $720.06	Facility		$115.00	$218.92	$720.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $103.99 / $175.90	Professional		$62.28	$103.99	$175.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $169.28 / $265.08	Facility		$140.75	$169.28	$265.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $171.65 / $323.45	Professional		$138.63	$171.65	$323.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $152.66 / $181.47	Professional		$130.40	$152.66	$181.47
United Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $103.83 / $129.99	Professional		$53.96	$103.83	$129.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $150.81 / $150.81	Professional		$150.81	$150.81	$150.81