Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $251.19	Professional		$114.82	$169.82	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $331.13	Facility		$177.83	$177.83	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $426.58	Professional		$346.74	$346.74	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $302.00 / $562.34	Facility		$223.87	$302.00	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $1,479.11	Professional		$120.23	$190.55	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $323.59	Professional		$269.15	$323.59	$323.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $537.03	Professional		$269.15	$269.15	$537.03
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 $117.49 / $151.36 / $316.23	Professional		$117.49	$151.36	$316.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84