Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $316.23	Professional		$165.96	$245.47	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $478.63	Facility		$251.19	$251.19	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $616.60	Professional		$501.19	$501.19	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $436.52 / $812.83	Facility		$323.59	$436.52	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $2,137.96	Professional		$173.78	$275.42	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $467.74	Professional		$389.05	$467.74	$467.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $776.25	Professional		$389.05	$389.05	$776.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $575.44	Professional		$363.08	$436.52	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $457.09	Professional		$169.82	$218.78	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87