Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.11 / $196.11 / $196.11	Facility		$196.11	$196.11	$196.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.29 / $196.11 / $214.84	Professional		$141.29	$196.11	$214.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $199.13	Facility		$113.00	$113.00	$199.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.50 / $271.50 / $339.38	Professional		$271.50	$271.50	$339.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $224.64 / $917.84	Facility		$157.63	$224.64	$917.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $138.94 / $220.00	Professional		$87.64	$138.94	$220.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.58 / $199.13 / $336.98	Facility		$165.58	$199.13	$336.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.31 / $201.95 / $394.38	Professional		$180.31	$201.95	$394.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $214.84 / $255.38	Professional		$183.50	$214.84	$255.38
United Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $116.81 / $208.41	Professional		$68.59	$116.81	$208.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.41 / $177.41 / $177.41	Professional		$177.41	$177.41	$177.41