Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $121.44 / $121.44	Facility		$121.44	$121.44	$121.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $113.16 / $141.59	Professional		$48.10	$113.16	$141.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $159.49	Facility		$126.00	$128.85	$159.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $168.00 / $210.00	Professional		$168.00	$168.00	$210.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $187.10 / $720.02	Facility		$107.28	$187.10	$720.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $96.45 / $172.08	Professional		$57.76	$96.45	$172.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.62 / $159.49 / $278.25	Facility		$132.62	$159.49	$278.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.62 / $161.72 / $304.79	Professional		$130.62	$161.72	$304.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $141.59 / $168.30	Professional		$120.94	$141.59	$168.30
United Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $96.45 / $172.08	Professional		$56.64	$96.45	$172.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $137.74 / $137.74	Professional		$137.74	$137.74	$137.74