Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.78 / $180.78 / $180.78	Facility		$180.78	$180.78	$180.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.85 / $150.01 / $180.78	Professional		$128.85	$150.01	$180.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.19 / $383.19 / $383.19	Facility		$383.19	$383.19	$383.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $349.90 / $437.38	Professional		$276.70	$349.90	$437.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.51 / $217.76 / $543.80	Facility		$181.51	$217.76	$543.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $115.39 / $352.64	Professional		$81.99	$115.39	$352.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.17 / $319.51 / $421.49	Facility		$248.17	$319.51	$421.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.78 / $316.48 / $421.49	Professional		$230.78	$316.48	$421.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $275.02 / $463.36 / $528.34	Professional		$275.02	$463.36	$528.34
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $81.99 / $253.86	Professional		$80.77	$81.99	$253.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $192.32 / $192.32	Professional		$192.32	$192.32	$192.32