Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.98 / $204.98 / $204.98	Facility		$204.98	$204.98	$204.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $249.36 / $327.08	Professional		$146.10	$249.36	$327.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.76 / $434.76 / $434.76	Facility		$434.76	$434.76	$434.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.50 / $396.05 / $495.07	Professional		$306.50	$396.05	$495.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $286.14 / $400.31	Facility		$208.92	$286.14	$400.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $149.31 / $439.16	Professional		$130.84	$149.31	$439.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $281.39 / $474.29 / $598.57	Facility		$281.39	$474.29	$598.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $261.67 / $434.81 / $598.57	Professional		$261.67	$434.81	$598.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $348.54 / $525.37 / $599.04	Professional		$348.54	$525.37	$599.04
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $149.31 / $218.06	Professional		$91.59	$149.31	$218.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $218.06 / $218.06	Professional		$218.06	$218.06	$218.06