Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $323.59	Professional		$190.55	$190.55	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $245.47	Professional		$194.98	$194.98	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $275.42 / $524.81	Facility		$169.82	$275.42	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $190.55	Professional		$138.04	$177.83	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $204.17	Professional		$162.18	$186.21	$204.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55