Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $213.80	Professional		$120.23	$154.88	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $309.03	Facility		$190.55	$190.55	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $426.58	Professional		$346.74	$346.74	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $549.54	Facility		$208.93	$295.12	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $1,479.11	Professional		$117.49	$173.78	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $302.00	Professional		$251.19	$302.00	$302.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $524.81	Professional		$251.19	$251.19	$524.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $389.05	Professional		$245.47	$295.12	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $309.03	Professional		$117.49	$147.91	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15