Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $354.81 / $354.81	Facility		$323.59	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $354.81	Professional		$173.78	$316.23	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $457.09	Facility		$275.42	$275.42	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $616.60	Professional		$489.78	$489.78	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $1,174.90	Facility		$316.23	$446.68	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $2,511.89	Professional		$177.83	$295.12	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $446.68	Professional		$371.54	$446.68	$446.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $794.33	Professional		$371.54	$371.54	$794.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $588.84	Professional		$371.54	$446.68	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $457.09	Professional		$169.82	$295.12	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11