Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Facility		$145.49	$145.49	$145.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Professional		$145.49	$145.49	$145.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $200.20 / $250.25	Facility		$200.20	$200.20	$250.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.49 / $138.49 / $173.11	Professional		$138.49	$138.49	$173.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $215.56 / $222.02	Facility		$127.55	$215.56	$222.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $127.55 / $516.39	Professional		$127.55	$127.55	$516.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.26 / $153.06 / $175.45	Facility		$125.26	$153.06	$175.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $153.06 / $216.18	Professional		$125.26	$153.06	$216.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $159.21 / $159.21	Professional		$159.21	$159.21	$159.21
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $160.04	Professional		$145.49	$145.49	$160.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Facility		$127.55	$127.55	$127.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Professional		$127.55	$127.55	$127.55