Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $251.19	Professional		$134.90	$194.98	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $389.05	Facility		$194.98	$194.98	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $501.19	Professional		$398.11	$398.11	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $660.69	Facility		$263.03	$346.74	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $1,737.80	Professional		$138.04	$218.78	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $380.19	Professional		$316.23	$380.19	$380.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $630.96	Professional		$316.23	$316.23	$630.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $467.74	Professional		$295.12	$346.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $363.08	Professional		$138.04	$173.78	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84