Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $199.53	Facility		$141.25	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $199.53	Professional		$102.33	$141.25	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $263.03	Facility		$125.89	$125.89	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $346.74	Professional		$275.42	$275.42	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $239.88 / $512.86	Facility		$173.78	$239.88	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $1,230.27	Professional		$77.62	$144.54	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $257.04	Professional		$213.80	$257.04	$257.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $346.74	Professional		$213.80	$213.80	$346.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $257.04	Professional		$162.18	$194.98	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $239.88	Professional		$77.62	$128.82	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09