Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Facility		$206.59	$206.59	$206.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $250.01	Professional		$206.59	$206.59	$250.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.49 / $210.49 / $210.49	Facility		$210.49	$210.49	$210.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $206.59 / $256.73	Professional		$205.39	$206.59	$256.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.84 / $295.47 / $566.14	Facility		$205.84	$295.47	$566.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.57 / $206.62 / $227.28	Professional		$201.57	$206.62	$227.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $191.68 / $247.94 / $352.87	Facility		$191.68	$247.94	$352.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.36 / $229.87 / $302.45	Professional		$184.36	$229.87	$302.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $205.03 / $226.08 / $226.08	Professional		$205.03	$226.08	$226.08
United Facility/Professional Professional Modifier Low / Median / High Price $193.56 / $206.59 / $227.25	Professional		$193.56	$206.59	$227.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $206.62 / $206.62 / $206.62	Facility		$206.62	$206.62	$206.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.62 / $206.62 / $206.62	Professional		$206.62	$206.62	$206.62