Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $213.80	Professional		$112.20	$154.88	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $275.42	Facility		$144.54	$144.54	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $338.84	Professional		$269.15	$269.15	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $549.54	Facility		$194.98	$275.42	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $1,479.11	Professional		$104.71	$158.49	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $275.42	Professional		$229.09	$269.15	$275.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $524.81	Professional		$229.09	$229.09	$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 $93.33 / $147.91 / $251.19	Professional		$93.33	$147.91	$251.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47