Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $389.05 / $389.05	Facility		$363.08	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $389.05	Professional		$223.87	$302.00	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $645.65	Facility		$316.23	$316.23	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $812.83	Professional		$645.65	$645.65	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $524.81 / $933.25	Facility		$389.05	$524.81	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $3,801.89	Professional		$199.53	$323.59	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $630.96	Professional		$524.81	$630.96	$630.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $891.25	Professional		$524.81	$524.81	$891.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $660.69	Professional		$416.87	$501.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $602.56	Professional		$199.53	$288.40	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34