Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $218.78	Professional		$162.18	$181.97	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $354.81	Facility		$194.98	$194.98	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $436.52	Professional		$354.81	$354.81	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $562.34	Facility		$257.04	$309.03	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $2,570.40	Professional		$120.23	$194.98	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $346.74	Professional		$288.40	$346.74	$346.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $549.54	Professional		$288.40	$288.40	$549.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $398.11	Professional		$251.19	$302.00	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $323.59	Professional		$120.23	$169.82	$323.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03