Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $201.74 / $201.74	Facility		$201.74	$201.74	$201.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $167.40 / $201.74	Professional		$143.80	$167.40	$201.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.58 / $427.58 / $427.58	Facility		$427.58	$427.58	$427.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.20 / $389.72 / $487.15	Professional		$308.20	$389.72	$487.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.56 / $243.02 / $394.01	Facility		$202.56	$243.02	$394.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $128.77 / $393.53	Professional		$112.52	$128.77	$393.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $276.95 / $393.53 / $470.36	Facility		$276.95	$393.53	$470.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.54 / $393.53 / $470.36	Professional		$257.54	$393.53	$470.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $262.66 / $501.16 / $589.60	Professional		$262.66	$501.16	$589.60
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $112.52 / $214.62	Professional		$90.14	$112.52	$214.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $214.62 / $214.62	Professional		$214.62	$214.62	$214.62