Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Facility		$161.62	$161.62	$161.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.40 / $233.40 / $291.75	Facility		$233.40	$233.40	$291.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $172.13 / $215.16	Professional		$172.13	$172.13	$215.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $278.58 / $446.65	Facility		$164.84	$278.58	$446.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $164.84 / $1,697.27	Professional		$164.84	$164.84	$1,697.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.80 / $257.70 / $446.70	Facility		$197.80	$257.70	$446.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $197.80 / $331.40	Professional		$197.80	$197.80	$331.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.88 / $176.88 / $176.88	Professional		$176.88	$176.88	$176.88
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $177.78	Professional		$161.62	$161.62	$177.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $164.84 / $164.84	Facility		$164.84	$164.84	$164.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $164.84 / $164.84	Professional		$164.84	$164.84	$164.84