Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $831.76	Professional		$117.49	$245.47	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $457.09	Facility		$302.00	$302.00	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $436.52	Professional		$354.81	$354.81	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $758.58	Facility		$275.42	$416.87	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $2,041.74	Professional		$199.53	$302.00	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $891.25	Professional		$446.68	$446.68	$891.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $416.87	Professional		$302.00	$346.74	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $398.11	Professional		$199.53	$251.19	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11