Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.72 / $223.72 / $223.72	Facility		$223.72	$223.72	$223.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $185.64 / $223.72	Professional		$159.46	$185.64	$223.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.59 / $474.59 / $474.59	Facility		$474.59	$474.59	$474.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.76 / $432.15 / $540.19	Professional		$341.76	$432.15	$540.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.01 / $269.49 / $436.92	Facility		$190.01	$269.49	$436.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $142.80 / $436.40	Professional		$82.91	$142.80	$436.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $285.60 / $331.10 / $521.60	Facility		$285.60	$331.10	$521.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $285.60 / $332.36 / $490.28	Professional		$285.60	$332.36	$490.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $555.75 / $653.83	Professional		$238.00	$555.75	$653.83
United Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $99.96 / $214.20	Professional		$82.91	$99.96	$214.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $238.00 / $238.00	Professional		$238.00	$238.00	$238.00