Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $123.03	Professional		$61.66	$93.33	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $275.42	Facility		$218.78	$218.78	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $213.80	Professional		$169.82	$169.82	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $158.49 / $275.42	Facility		$102.33	$158.49	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $1,288.25	Professional		$58.88	$74.13	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $162.18	Professional		$134.90	$162.18	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $263.03	Professional		$134.90	$134.90	$263.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $194.98	Professional		$125.89	$147.91	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $151.36	Professional		$48.98	$63.10	$151.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83