Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $234.42	Facility		$162.18	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $245.47	Professional		$114.82	$162.18	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Facility		$181.97	$181.97	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $407.38	Professional		$323.59	$323.59	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $239.88 / $588.84	Facility		$204.17	$239.88	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $1,698.24	Professional		$89.13	$147.91	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $245.47	Professional		$204.17	$245.47	$245.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $398.11	Professional		$204.17	$204.17	$398.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $295.12	Professional		$186.21	$223.87	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $288.40	Professional		$89.13	$147.91	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78