Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Facility		$203.58	$203.58	$203.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $205.62 / $256.76	Professional		$203.58	$205.62	$256.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.92 / $243.92 / $243.92	Facility		$243.92	$243.92	$243.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.46 / $208.46 / $260.58	Professional		$208.46	$208.46	$260.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.31 / $303.45 / $581.42	Facility		$239.31	$303.45	$581.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $227.75 / $236.22	Professional		$203.58	$227.75	$236.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $219.11 / $262.05 / $382.15	Facility		$219.11	$262.05	$382.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $246.99 / $327.56	Professional		$168.58	$246.99	$327.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $222.79 / $222.79	Professional		$106.20	$222.79	$222.79
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $226.63	Professional		$203.58	$203.58	$226.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $212.20 / $212.20 / $212.20	Facility		$212.20	$212.20	$212.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $212.20 / $212.20	Professional		$212.20	$212.20	$212.20