Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.50 / $207.50 / $207.50	Facility		$207.50	$207.50	$207.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $207.50 / $232.02	Professional		$147.90	$207.50	$232.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.99 / $439.99 / $439.99	Facility		$439.99	$439.99	$439.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.98 / $400.82 / $501.02	Professional		$316.98	$400.82	$501.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.34 / $249.95 / $405.25	Facility		$208.34	$249.95	$405.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $154.43 / $454.20	Professional		$132.44	$154.43	$454.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $284.86 / $483.77 / $619.04	Facility		$284.86	$483.77	$619.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $449.74 / $619.04	Professional		$264.89	$449.74	$619.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $360.48 / $531.83 / $606.41	Professional		$360.48	$531.83	$606.41
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $154.43 / $220.74	Professional		$92.71	$154.43	$220.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $220.74 / $220.74	Professional		$220.74	$220.74	$220.74