Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $295.12 / $295.12	Facility		$288.40	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $302.00	Professional		$138.04	$234.42	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $338.84	Facility		$223.87	$223.87	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $501.19	Professional		$407.38	$407.38	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $389.05 / $1,071.52	Facility		$275.42	$389.05	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $1,995.26	Professional		$138.04	$229.09	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $331.13	Professional		$275.42	$331.13	$331.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $724.44	Professional		$275.42	$275.42	$724.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $524.81	Professional		$331.13	$398.11	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $354.81	Professional		$138.04	$223.87	$354.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12