Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $208.93	Facility		$165.96	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $208.93	Professional		$165.96	$173.78	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $181.97	Professional		$147.91	$147.91	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $281.84 / $354.81	Facility		$190.55	$281.84	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $794.33	Professional		$204.17	$204.17	$794.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $263.03	Professional		$125.89	$204.17	$263.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78