Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.44 / $180.44 / $180.44	Facility		$180.44	$180.44	$180.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $179.47 / $180.44	Professional		$162.32	$179.47	$180.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $284.23	Facility		$168.00	$168.00	$284.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.13 / $304.14 / $376.41	Professional		$301.13	$304.14	$376.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.47 / $303.30 / $1,209.31	Facility		$179.47	$303.30	$1,209.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $167.34 / $283.39	Professional		$104.59	$167.34	$283.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $236.34 / $284.23 / $445.20	Facility		$236.34	$284.23	$445.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.79 / $288.23 / $543.16	Professional		$232.79	$288.23	$543.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.99 / $256.39 / $304.76	Professional		$218.99	$256.39	$304.76
United Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $174.63 / $298.66	Professional		$96.45	$174.63	$298.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $253.22 / $253.22 / $253.22	Professional		$253.22	$253.22	$253.22