Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Facility		$217.09	$217.09	$217.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $262.68	Professional		$217.09	$217.09	$262.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $218.81 / $273.52	Professional		$217.09	$218.81	$273.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $366.88 / $594.83	Facility		$217.09	$366.88	$594.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $241.67 / $948.17	Professional		$217.09	$241.67	$948.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.70 / $280.83 / $375.83	Facility		$257.70	$280.83	$375.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.70 / $280.83 / $325.63	Professional		$257.70	$280.83	$325.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $237.57 / $237.57 / $237.57	Professional		$237.57	$237.57	$237.57
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $246.97	Professional		$217.09	$217.09	$246.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $237.57 / $237.57 / $237.57	Facility		$237.57	$237.57	$237.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $237.57 / $237.57 / $237.57	Professional		$237.57	$237.57	$237.57