Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.20 / $190.20 / $237.75	Facility		$190.20	$190.20	$237.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $163.77 / $173.81	Professional		$139.05	$163.77	$173.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $231.85 / $375.90	Facility		$137.19	$231.85	$375.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $137.19 / $633.20	Professional		$136.47	$137.19	$633.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $186.44 / $215.12	Facility		$163.77	$186.44	$215.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.49 / $164.63 / $191.34	Professional		$163.49	$164.63	$191.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $147.61 / $147.61	Professional		$147.61	$147.61	$147.61
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $148.38	Professional		$134.88	$134.88	$148.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $137.19 / $137.19	Facility		$137.19	$137.19	$137.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $137.19 / $137.19	Professional		$137.19	$137.19	$137.19