Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $223.87	Facility		$141.25	$141.25	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $177.83	Professional		$114.82	$141.25	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $478.63	Professional		$281.84	$380.19	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $223.87 / $363.08	Facility		$141.25	$223.87	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $1,000.00	Professional		$85.11	$89.13	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $549.54	Professional		$213.80	$467.74	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $229.09	Professional		$83.18	$89.13	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53