Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $181.97	Professional		$100.00	$128.82	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $323.59	Facility		$134.90	$134.90	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $331.13	Professional		$263.03	$263.03	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $251.19 / $407.38	Facility		$169.82	$251.19	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $2,818.38	Professional		$87.10	$144.54	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $316.23	Professional		$263.03	$316.23	$316.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $389.05	Professional		$263.03	$263.03	$389.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $288.40	Professional		$181.97	$218.78	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $245.47	Professional		$87.10	$125.89	$245.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84