Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $263.03	Facility		$257.04	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $263.03	Professional		$186.21	$213.80	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $398.11	Facility		$245.47	$245.47	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $549.54	Professional		$436.52	$436.52	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $354.81 / $660.69	Facility		$316.23	$354.81	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $2,290.87	Professional		$141.25	$229.09	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $389.05	Professional		$323.59	$389.05	$389.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $630.96	Professional		$323.59	$323.59	$630.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $467.74	Professional		$295.12	$354.81	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $407.38	Professional		$141.25	$194.98	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74