Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $446.68	Professional		$162.18	$251.19	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $446.68	Facility		$245.47	$245.47	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $724.44	Professional		$575.44	$575.44	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $467.74 / $933.25	Facility		$316.23	$467.74	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $2,511.89	Professional		$181.97	$251.19	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $436.52	Professional		$363.08	$436.52	$436.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $891.25	Professional		$363.08	$363.08	$891.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $660.69	Professional		$416.87	$489.78	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $501.19	Professional		$177.83	$245.47	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05