Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.01 / $195.01 / $195.01	Facility		$195.01	$195.01	$195.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $161.82 / $195.01	Professional		$139.00	$161.82	$195.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.88 / $413.88 / $413.88	Facility		$413.88	$413.88	$413.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.88 / $376.67 / $470.83	Professional		$297.88	$376.67	$470.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.80 / $234.91 / $380.86	Facility		$195.80	$234.91	$380.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.48 / $145.13 / $426.87	Professional		$124.48	$145.13	$426.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $267.70 / $454.66 / $581.79	Facility		$267.70	$454.66	$581.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.95 / $422.67 / $581.79	Professional		$248.95	$422.67	$581.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $338.78 / $499.83 / $569.92	Professional		$338.78	$499.83	$569.92
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $145.13 / $207.46	Professional		$87.13	$145.13	$207.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $207.46 / $207.46	Professional		$207.46	$207.46	$207.46