Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $131.83 / $131.83	Facility		$120.23	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $177.83	Professional		$81.28	$120.23	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $213.80	Facility		$100.00	$100.00	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $229.09	Professional		$186.21	$186.21	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $446.68	Facility		$134.90	$204.17	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $1,174.90	Professional		$66.07	$120.23	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $208.93	Professional		$173.78	$208.93	$208.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $295.12	Professional		$173.78	$173.78	$295.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $218.78	Professional		$138.04	$165.96	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $169.82	Professional		$63.10	$109.65	$169.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21