Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.38 / $196.38 / $196.38	Facility		$196.38	$196.38	$196.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $162.96 / $196.38	Professional		$139.97	$162.96	$196.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.49 / $416.49 / $416.49	Facility		$416.49	$416.49	$416.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.94 / $379.28 / $474.10	Professional		$299.94	$379.28	$474.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.18 / $236.57 / $383.55	Facility		$197.18	$236.57	$383.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $146.16 / $429.87	Professional		$125.35	$146.16	$429.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $269.58 / $457.87 / $585.90	Facility		$269.58	$457.87	$585.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.70 / $425.63 / $585.90	Professional		$250.70	$425.63	$585.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $341.17 / $503.35 / $573.95	Professional		$341.17	$503.35	$573.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $146.16 / $208.92	Professional		$87.75	$146.16	$208.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.92 / $208.92 / $208.92	Professional		$208.92	$208.92	$208.92