Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.86 / $126.86 / $126.86	Facility		$126.86	$126.86	$126.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $126.86 / $149.49	Professional		$117.60	$126.86	$149.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $165.74	Facility		$98.15	$98.15	$165.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $175.50 / $219.38	Professional		$175.50	$175.50	$219.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.08 / $160.91 / $705.18	Facility		$75.08	$160.91	$705.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $101.83 / $165.25	Professional		$60.99	$101.83	$165.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.81 / $165.74 / $259.61	Facility		$137.81	$165.74	$259.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.74 / $168.07 / $316.72	Professional		$135.74	$168.07	$316.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $149.49 / $177.70	Professional		$127.69	$149.49	$177.70
United Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $101.83 / $151.46	Professional		$52.84	$101.83	$151.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $147.66 / $147.66	Professional		$147.66	$147.66	$147.66