Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.58 / $198.58 / $198.58	Facility		$198.58	$198.58	$198.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $198.58 / $198.58	Professional		$166.69	$198.58	$198.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.54 / $427.41 / $534.26	Professional		$349.54	$427.41	$534.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.75 / $281.70 / $456.73	Facility		$238.75	$281.70	$456.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.15 / $333.72 / $538.40	Professional		$179.15	$333.72	$538.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $358.80 / $458.90 / $612.22	Facility		$358.80	$458.90	$612.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $458.90 / $549.16	Professional		$348.00	$458.90	$549.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $334.34 / $425.87	Professional		$220.65	$334.34	$425.87
United Facility/Professional Professional Modifier Low / Median / High Price $221.29 / $307.97 / $512.76	Professional		$221.29	$307.97	$512.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $310.60 / $365.40 / $365.40	Professional		$310.60	$365.40	$365.40