Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $181.97 / $181.97	Facility		$177.83	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $245.47	Professional		$112.20	$169.82	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $245.47	Facility		$141.25	$141.25	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $316.23	Professional		$251.19	$251.19	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $645.65	Facility		$186.21	$245.47	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $1,513.56	Professional		$97.72	$162.18	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $239.88	Professional		$199.53	$239.88	$239.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $436.52	Professional		$199.53	$199.53	$436.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $323.59	Professional		$204.17	$245.47	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $234.42	Professional		$87.10	$154.88	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80