Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.01 / $174.01 / $174.01	Facility		$174.01	$174.01	$174.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $144.38 / $174.01	Professional		$124.03	$144.38	$174.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.83 / $368.83 / $368.83	Facility		$368.83	$368.83	$368.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.87 / $336.19 / $420.24	Professional		$265.87	$336.19	$420.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.72 / $209.61 / $1,764.17	Facility		$174.72	$209.61	$1,764.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $111.07 / $339.44	Professional		$94.41	$111.07	$339.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $238.89 / $339.44 / $411.39	Facility		$238.89	$339.44	$411.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $222.14 / $310.64 / $405.71	Professional		$222.14	$310.64	$405.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $264.72 / $446.01 / $508.56	Professional		$264.72	$446.01	$508.56
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $111.07 / $166.61	Professional		$77.75	$111.07	$166.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $185.12 / $185.12	Professional		$185.12	$185.12	$185.12