Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $190.26 / $190.26	Facility		$190.26	$190.26	$190.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $157.87 / $190.26	Professional		$135.61	$157.87	$190.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.43 / $403.43 / $403.43	Facility		$403.43	$403.43	$403.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.43 / $367.53 / $459.41	Professional		$284.43	$367.53	$459.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.02 / $229.18 / $371.57	Facility		$191.02	$229.18	$371.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $121.44 / $371.12	Professional		$103.22	$121.44	$371.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.19 / $371.12 / $449.78	Facility		$261.19	$371.12	$449.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $242.88 / $371.12 / $443.58	Professional		$242.88	$371.12	$443.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $289.43 / $487.64 / $556.03	Professional		$289.43	$487.64	$556.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $103.22 / $202.40	Professional		$85.01	$103.22	$202.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $202.40 / $202.40	Professional		$202.40	$202.40	$202.40