Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $229.09	Professional		$169.82	$190.55	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $407.38	Facility		$204.17	$204.17	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $457.09	Professional		$371.54	$371.54	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $331.13 / $588.84	Facility		$269.15	$331.13	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $3,801.89	Professional		$125.89	$204.17	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $398.11	Professional		$331.13	$398.11	$398.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $562.34	Professional		$331.13	$331.13	$562.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $416.87	Professional		$263.03	$316.23	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $338.84	Professional		$125.89	$177.83	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84