Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $416.87	Facility		$208.93	$208.93	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $354.81	Professional		$208.93	$208.93	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $269.15	Professional		$213.80	$213.80	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $416.87	Facility		$204.17	$245.47	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $912.01	Professional		$204.17	$229.09	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $309.03	Professional		$245.47	$269.15	$309.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $251.19	Professional		$208.93	$234.42	$251.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09