Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $208.93	Facility		$104.71	$104.71	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $177.83	Professional		$104.71	$104.71	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $131.83	Professional		$107.15	$107.15	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $416.87 / $588.84	Facility		$239.88	$416.87	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $416.87	Professional		$165.96	$165.96	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $489.78	Professional		$114.82	$114.82	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $489.78	Professional		$104.71	$104.71	$489.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82