Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.96 / $219.96 / $219.96	Facility		$219.96	$219.96	$219.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.78 / $182.52 / $219.96	Professional		$156.78	$182.52	$219.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.75 / $466.75 / $466.75	Facility		$466.75	$466.75	$466.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.08 / $424.97 / $531.22	Professional		$336.08	$424.97	$531.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $264.95 / $371.73	Facility		$139.57	$264.95	$371.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.34 / $140.40 / $429.06	Professional		$119.34	$140.40	$429.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $301.95 / $429.06 / $520.01	Facility		$301.95	$429.06	$520.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $429.06 / $512.83	Professional		$280.80	$429.06	$512.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $334.62 / $563.78 / $642.84	Professional		$334.62	$563.78	$642.84
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $119.34 / $234.00	Professional		$98.28	$119.34	$234.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Professional		$234.00	$234.00	$234.00