Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.33 / $108.33 / $108.33	Facility		$108.33	$108.33	$108.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.01 / $93.01 / $108.33	Professional		$93.01	$93.01	$108.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.39 / $591.08 / $738.85	Professional		$483.39	$591.08	$738.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $157.19 / $254.85	Facility		$133.22	$157.19	$254.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $291.87 / $588.99	Professional		$99.65	$291.87	$588.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.50 / $212.84 / $588.99	Facility		$129.50	$212.84	$588.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.53 / $272.51 / $588.99	Professional		$140.53	$272.51	$588.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $325.64 / $325.64 / $325.64	Professional		$325.64	$325.64	$325.64
United Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $207.37 / $530.67	Professional		$96.63	$207.37	$530.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $373.50 / $373.50	Professional		$317.39	$373.50	$373.50