Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.29 / $191.29 / $191.29	Facility		$191.29	$191.29	$191.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $158.72 / $191.29	Professional		$136.35	$158.72	$191.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.39 / $405.39 / $405.39	Facility		$405.39	$405.39	$405.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.20 / $369.48 / $461.86	Professional		$292.20	$369.48	$461.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $230.43 / $373.60	Facility		$192.06	$230.43	$373.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $122.10 / $373.13	Professional		$113.67	$122.10	$373.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $262.60 / $373.13 / $455.65	Facility		$262.60	$373.13	$455.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $373.13 / $465.49	Professional		$244.20	$373.13	$465.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $475.19 / $559.05	Professional		$265.33	$475.19	$559.05
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $113.67 / $334.32	Professional		$85.47	$113.67	$334.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $203.50 / $203.50	Professional		$203.50	$203.50	$203.50