Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Facility		$197.83	$197.83	$197.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $239.16	Professional		$197.83	$197.83	$239.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.02 / $237.02 / $237.02	Facility		$237.02	$237.02	$237.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.74 / $197.83 / $247.17	Professional		$197.74	$197.83	$247.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $334.03 / $541.55	Facility		$197.65	$334.03	$541.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $220.03 / $855.93	Professional		$197.65	$220.03	$855.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $232.89 / $253.51 / $339.26	Facility		$232.89	$253.51	$339.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.89 / $253.51 / $296.47	Professional		$232.89	$253.51	$296.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $216.49 / $216.49	Professional		$216.49	$216.49	$216.49
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $235.42	Professional		$197.83	$197.83	$235.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $216.29 / $216.29 / $216.29	Facility		$216.29	$216.29	$216.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.29 / $216.29 / $216.29	Professional		$216.29	$216.29	$216.29