Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $288.40	Facility		$229.09	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $346.74	Professional		$162.18	$229.09	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $354.81	Facility		$218.78	$218.78	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $489.78	Professional		$398.11	$398.11	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $338.84 / $851.14	Facility		$275.42	$338.84	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $2,041.74	Professional		$125.89	$213.80	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $346.74	Professional		$288.40	$346.74	$346.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $575.44	Professional		$288.40	$288.40	$575.44
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 / $213.80 / $363.08	Professional		$125.89	$213.80	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03