Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $120.65 / $120.65	Facility		$120.65	$120.65	$120.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $120.65 / $122.26	Professional		$108.63	$120.65	$122.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $153.10	Facility		$99.25	$99.25	$153.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $166.88 / $208.59	Professional		$166.88	$166.88	$208.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.79 / $161.90 / $682.16	Facility		$105.79	$161.90	$682.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $83.28 / $159.10	Professional		$49.88	$83.28	$159.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $127.31 / $153.10 / $240.26	Facility		$127.31	$153.10	$240.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $155.27 / $292.62	Professional		$125.40	$155.27	$292.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $122.26 / $145.33	Professional		$104.43	$122.26	$145.33
United Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $69.44 / $104.10	Professional		$48.90	$69.44	$104.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $136.40 / $136.40	Professional		$136.40	$136.40	$136.40