Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $389.05	Facility		$251.19	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $389.05	Professional		$181.97	$251.19	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $389.05	Facility		$234.42	$234.42	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $676.08	Professional		$537.03	$537.03	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $389.05 / $933.25	Facility		$316.23	$389.05	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $2,290.87	Professional		$138.04	$263.03	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $380.19	Professional		$316.23	$380.19	$380.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $616.60	Professional		$316.23	$316.23	$616.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $457.09	Professional		$288.40	$346.74	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $467.74	Professional		$138.04	$229.09	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84