Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.81 / $84.81 / $84.81	Facility		$84.81	$84.81	$84.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $105.36 / $112.81	Professional		$84.81	$105.36	$112.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $148.50	Facility		$66.22	$66.22	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $118.55 / $146.72	Professional		$117.38	$118.55	$146.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.25 / $142.03 / $551.54	Facility		$92.25	$142.03	$551.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $76.84 / $144.09	Professional		$46.02	$76.84	$144.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $148.50 / $194.30	Facility		$123.48	$148.50	$194.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $150.58 / $283.77	Professional		$116.22	$150.58	$283.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $112.81 / $134.10	Professional		$96.36	$112.81	$134.10
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $73.63 / $116.44	Professional		$39.54	$73.63	$116.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $132.30 / $132.30	Professional		$132.30	$132.30	$132.30