Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $194.98	Facility		$158.49	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $194.98	Professional		$93.33	$141.25	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $204.17	Facility		$112.20	$112.20	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $338.84	Professional		$269.15	$269.15	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $218.78 / $588.84	Facility		$165.96	$218.78	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $1,096.48	Professional		$87.10	$134.90	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $199.53	Professional		$165.96	$199.53	$199.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $398.11	Professional		$165.96	$165.96	$398.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $288.40	Professional		$181.97	$218.78	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $239.88	Professional		$87.10	$131.83	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83