Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $278.10 / $3,225.83	Facility		$151.16	$278.10	$3,225.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $167.94 / $190.47	Professional		$151.16	$167.94	$190.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.30 / $215.30 / $269.13	Facility		$215.30	$215.30	$269.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.33 / $185.60 / $201.66	Professional		$161.33	$185.60	$201.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $254.06 / $400.80	Facility		$150.33	$254.06	$400.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $699.05	Professional		$150.33	$150.33	$699.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.40 / $205.83 / $237.50	Facility		$180.40	$205.83	$237.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $190.00 / $221.76	Professional		$180.40	$190.00	$221.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.43 / $165.43 / $165.43	Professional		$165.43	$165.43	$165.43
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $166.29	Professional		$151.16	$151.16	$166.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $150.33	Facility		$150.33	$150.33	$150.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $150.33	Professional		$150.33	$150.33	$150.33