Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.82 / $166.82 / $166.82	Facility		$166.82	$166.82	$166.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $166.82 / $196.64	Professional		$154.72	$166.82	$196.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $218.06	Facility		$120.62	$120.62	$218.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $231.00 / $288.75	Professional		$231.00	$231.00	$288.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.87 / $211.72 / $927.48	Facility		$91.87	$211.72	$927.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $133.94 / $217.42	Professional		$80.23	$133.94	$217.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $181.31 / $218.06 / $341.45	Facility		$181.31	$218.06	$341.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.58 / $221.13 / $416.72	Professional		$178.58	$221.13	$416.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $167.97 / $196.64 / $233.74	Professional		$167.97	$196.64	$233.74
United Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $133.94 / $199.17	Professional		$69.50	$133.94	$199.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.28 / $194.28 / $194.28	Professional		$194.28	$194.28	$194.28