Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.41 / $189.41 / $189.41	Facility		$189.41	$189.41	$189.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.01 / $157.16 / $189.41	Professional		$135.01	$157.16	$189.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.47 / $401.47 / $401.47	Facility		$401.47	$401.47	$401.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.62 / $366.22 / $457.78	Professional		$289.62	$366.22	$457.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.18 / $228.17 / $369.93	Facility		$190.18	$228.17	$369.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $140.96 / $414.60	Professional		$120.90	$140.96	$414.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $260.02 / $441.61 / $565.10	Facility		$260.02	$441.61	$565.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $410.51 / $565.10	Professional		$241.80	$410.51	$565.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $485.47 / $553.55	Professional		$329.05	$485.47	$553.55
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $140.96 / $274.89	Professional		$84.63	$140.96	$274.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $201.50 / $201.50	Professional		$201.50	$201.50	$201.50