Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $346.74	Facility		$234.42	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $346.74	Professional		$158.49	$234.42	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $346.74	Facility		$263.03	$263.03	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $588.84	Professional		$478.63	$478.63	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $346.74 / $851.14	Facility		$269.15	$346.74	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $1,819.70	Professional		$128.82	$213.80	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $346.74	Professional		$288.40	$338.84	$346.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
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 $269.15 / $323.59 / $426.58	Professional		$269.15	$323.59	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $416.87	Professional		$128.82	$213.80	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03