Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $281.84 / $281.84	Facility		$173.78	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $281.84	Professional		$165.96	$186.21	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $588.84	Professional		$346.74	$478.63	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $457.09	Facility		$234.42	$281.84	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $1,230.27	Professional		$125.89	$147.91	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $676.08	Professional		$354.81	$575.44	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $288.40	Professional		$104.71	$147.91	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19