Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $302.00	Professional		$173.78	$186.21	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $8.51	Professional		$6.76	$6.76	$8.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $281.84 / $537.03	Facility		$13.49	$281.84	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $181.97 / $181.97	Professional		$11.22	$181.97	$181.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $199.53	Professional		$181.97	$181.97	$199.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97