Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $398.11	Facility		$199.53	$199.53	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $12,022.64	Professional		$199.53	$204.17	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $251.19	Professional		$204.17	$204.17	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $302.00 / $575.44	Facility		$239.88	$302.00	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $234.42	Professional		$181.97	$234.42	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $223.87	Professional		$169.82	$218.78	$223.87
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17