Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.93 / $96.93 / $96.93	Facility		$96.93	$96.93	$96.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.93 / $103.90 / $138.63	Professional		$96.93	$103.90	$138.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.50 / $226.50 / $283.13	Facility		$226.50	$226.50	$283.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $176.25 / $220.31	Professional		$176.25	$176.25	$220.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.35 / $175.59 / $284.69	Facility		$93.35	$175.59	$284.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $121.10 / $835.71	Professional		$60.55	$121.10	$835.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $173.17 / $218.76	Facility		$166.71	$173.17	$218.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $167.19 / $222.59	Professional		$131.90	$167.19	$222.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $151.99 / $201.17	Professional		$126.78	$151.99	$201.17
United Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $126.38 / $174.79	Professional		$53.71	$126.38	$174.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $136.79 / $136.79	Professional		$136.79	$136.79	$136.79