Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $389.05	Facility		$194.98	$194.98	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $331.13	Professional		$194.98	$194.98	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Professional		$199.53	$199.53	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $380.19	Facility		$190.55	$190.55	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $794.33	Professional		$190.55	$208.93	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $281.84	Professional		$223.87	$234.42	$281.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $234.42	Professional		$194.98	$218.78	$234.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93