Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $446.68	Facility		$218.78	$218.78	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $380.19	Professional		$218.78	$218.78	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $281.84	Professional		$223.87	$223.87	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $436.52	Facility		$218.78	$218.78	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $933.25	Professional		$218.78	$239.88	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $323.59	Professional		$257.04	$275.42	$323.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $263.03	Professional		$218.78	$245.47	$263.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88