Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $239.86 / $239.86	Facility		$239.86	$239.86	$239.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $239.86 / $263.83	Professional		$143.47	$239.86	$263.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $197.71 / $244.69	Professional		$195.75	$197.71	$244.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.53 / $326.68 / $625.95	Facility		$221.53	$326.68	$625.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $258.68 / $258.69	Professional		$70.52	$258.68	$258.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.69 / $126.30 / $157.65	Facility		$114.69	$126.30	$157.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $126.37 / $168.93	Professional		$79.89	$126.37	$168.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $239.87 / $239.87	Professional		$18.93	$239.87	$239.87
United Facility/Professional Professional Modifier Low / Median / High Price $223.96 / $258.68 / $265.73	Professional		$223.96	$258.68	$265.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $140.66 / $140.66 / $140.66	Facility		$140.66	$140.66	$140.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.66 / $140.66 / $140.66	Professional		$140.66	$140.66	$140.66