Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $346.74	Professional		$158.49	$229.09	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $416.87	Facility		$229.09	$229.09	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $562.34	Professional		$457.09	$457.09	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $891.25	Facility		$275.42	$446.68	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $2,754.23	Professional		$162.18	$239.88	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $407.38	Professional		$338.84	$407.38	$407.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $851.14	Professional		$338.84	$338.84	$851.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $630.96	Professional		$398.11	$478.63	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $416.87	Professional		$154.88	$239.88	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74