Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.17 / $126.17 / $126.17	Facility		$126.17	$126.17	$126.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $114.69 / $126.17	Professional		$93.43	$114.69	$126.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $131.68	Facility		$97.44	$97.44	$131.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $174.75 / $218.44	Professional		$149.71	$174.75	$218.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $151.81 / $629.92	Facility		$95.82	$151.81	$629.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $78.13 / $139.40	Professional		$46.79	$78.13	$139.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.48 / $131.68 / $225.38	Facility		$109.48	$131.68	$225.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $133.52 / $251.61	Professional		$107.82	$133.52	$251.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $114.69 / $136.34	Professional		$97.97	$114.69	$136.34
United Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $78.13 / $97.66	Professional		$45.88	$78.13	$97.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $117.32 / $117.32	Professional		$117.32	$117.32	$117.32