Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.74 / $120.74 / $120.74	Facility		$120.74	$120.74	$120.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $120.74 / $140.76	Professional		$112.50	$120.74	$140.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $158.55	Facility		$90.07	$90.07	$158.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $167.25 / $209.06	Professional		$167.25	$167.25	$209.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.80 / $191.02 / $730.36	Facility		$110.80	$191.02	$730.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $95.88 / $171.08	Professional		$57.43	$95.88	$171.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.84 / $158.55 / $276.61	Facility		$131.84	$158.55	$276.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.85 / $160.79 / $303.00	Professional		$129.85	$160.79	$303.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $140.76 / $167.32	Professional		$120.24	$140.76	$167.32
United Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $95.88 / $158.55	Professional		$57.43	$95.88	$158.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.26 / $141.26 / $141.26	Professional		$141.26	$141.26	$141.26