Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.09 / $182.09 / $182.09	Facility		$182.09	$182.09	$182.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $182.09 / $182.09	Professional		$165.44	$182.09	$182.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.46 / $386.46 / $386.46	Facility		$386.46	$386.46	$386.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.57 / $448.47 / $560.59	Professional		$286.57	$448.47	$560.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.83 / $279.58 / $1,172.86	Facility		$182.83	$279.58	$1,172.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $174.34 / $308.45	Professional		$104.87	$174.34	$308.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.97 / $391.46 / $403.16	Facility		$249.97	$391.46	$403.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $249.97 / $403.16 / $505.58	Professional		$249.97	$403.16	$505.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.71 / $576.58 / $678.34	Professional		$193.71	$576.58	$678.34
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $116.23 / $296.30	Professional		$103.71	$116.23	$296.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $246.92 / $246.92	Professional		$246.92	$246.92	$246.92