Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $229.09	Professional		$114.82	$169.82	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $302.00	Facility		$177.83	$177.83	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $389.05	Professional		$309.03	$309.03	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $295.12 / $501.19	Facility		$181.97	$295.12	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $1,318.26	Professional		$107.15	$181.97	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $295.12	Professional		$245.47	$295.12	$295.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $478.63	Professional		$245.47	$245.47	$478.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $354.81	Professional		$223.87	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $269.15	Professional		$107.15	$181.97	$269.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03