Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $154.88	Professional		$81.28	$117.49	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $234.42	Facility		$147.91	$147.91	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $302.00	Professional		$245.47	$245.47	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $208.93 / $398.11	Facility		$158.49	$208.93	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $1,047.13	Professional		$85.11	$134.90	$1,047.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $229.09	Professional		$190.55	$229.09	$229.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $380.19	Professional		$190.55	$190.55	$380.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $281.84	Professional		$177.83	$213.80	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $223.87	Professional		$83.18	$104.71	$223.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53