Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.60 / $244.60 / $305.75	Facility		$244.60	$244.60	$305.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.63 / $187.48 / $232.03	Professional		$185.63	$187.48	$232.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $307.88 / $499.17	Facility		$182.18	$307.88	$499.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $804.35	Professional		$182.18	$182.18	$804.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $236.84 / $273.27	Facility		$128.34	$236.84	$273.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $218.62 / $218.62	Professional		$125.85	$218.62	$218.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.37 / $199.37 / $199.37	Professional		$199.37	$199.37	$199.37
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $200.40	Professional		$182.18	$182.18	$200.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18