Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.50 / $200.50 / $200.50	Facility		$200.50	$200.50	$200.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $166.37 / $200.50	Professional		$142.91	$166.37	$200.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.97 / $424.97 / $424.97	Facility		$424.97	$424.97	$424.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.14 / $387.11 / $483.89	Professional		$306.14	$387.11	$483.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.28 / $241.52 / $391.57	Facility		$178.28	$241.52	$391.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $127.98 / $391.11	Professional		$77.80	$127.98	$391.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $255.96 / $310.69 / $467.46	Facility		$255.96	$310.69	$467.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $255.96 / $311.85 / $439.40	Professional		$255.96	$311.85	$439.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $498.08 / $585.98	Professional		$213.30	$498.08	$585.98
United Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $151.71 / $213.30	Professional		$77.80	$151.71	$213.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $213.30 / $213.30	Professional		$213.30	$213.30	$213.30