Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.78 / $162.78 / $162.78	Facility		$162.78	$162.78	$162.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $135.07 / $162.78	Professional		$116.02	$135.07	$162.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.33 / $345.33 / $345.33	Facility		$345.33	$345.33	$345.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.83 / $314.64 / $393.31	Professional		$248.83	$314.64	$393.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.91 / $275.10 / $550.00	Facility		$165.91	$275.10	$550.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $190.04 / $1,423.97	Professional		$103.90	$190.04	$1,423.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $223.46 / $379.52 / $542.89	Facility		$223.46	$379.52	$542.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.46 / $352.81 / $496.15	Professional		$223.46	$352.81	$496.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $282.80 / $417.22 / $475.73	Professional		$282.80	$417.22	$475.73
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $103.90 / $311.70	Professional		$103.90	$103.90	$311.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $173.17 / $173.17	Professional		$173.17	$173.17	$173.17