Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.48 / $180.48 / $180.48	Facility		$180.48	$180.48	$180.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $149.76 / $180.48	Professional		$128.63	$149.76	$180.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.54 / $382.54 / $382.54	Facility		$382.54	$382.54	$382.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $349.25 / $436.56	Professional		$270.27	$349.25	$436.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.21 / $217.40 / $352.47	Facility		$181.21	$217.40	$352.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $115.20 / $352.05	Professional		$42.67	$115.20	$352.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.40 / $250.64 / $491.52	Facility		$230.40	$250.64	$491.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.34 / $250.64 / $420.78	Professional		$165.34	$250.64	$420.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $274.56 / $462.59 / $527.46	Professional		$274.56	$462.59	$527.46
United Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $80.64 / $172.80	Professional		$42.67	$80.64	$172.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $192.00	Professional		$192.00	$192.00	$192.00