Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Facility		$170.48	$170.48	$170.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $170.48 / $202.14	Professional		$168.73	$170.48	$202.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.70 / $173.70 / $173.70	Facility		$173.70	$173.70	$173.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.08 / $498.08 / $622.59	Professional		$498.08	$498.08	$622.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.90 / $415.99 / $593.00	Facility		$238.90	$415.99	$593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $167.06 / $415.52	Professional		$167.06	$167.06	$415.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.47 / $593.00 / $864.78	Facility		$200.47	$593.00	$864.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $261.38 / $563.35 / $741.25	Professional		$261.38	$563.35	$741.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.56 / $186.56 / $484.90	Professional		$186.56	$186.56	$484.90
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $187.53	Professional		$170.48	$170.48	$187.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $167.06 / $167.06 / $167.06	Facility		$167.06	$167.06	$167.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $167.06 / $167.06	Professional		$167.06	$167.06	$167.06