Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $457.09	Facility		$229.09	$229.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $389.05	Professional		$229.09	$229.09	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $295.12	Professional		$234.42	$234.42	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $630.96	Facility		$229.09	$331.13	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $229.09	Professional		$194.98	$229.09	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $257.04	Professional		$251.19	$251.19	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $251.19	Professional		$194.98	$229.09	$251.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09