Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $389.05 / $389.05	Facility		$346.74	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $416.87	Professional		$204.17	$346.74	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $524.81	Facility		$295.12	$295.12	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $676.08	Professional		$549.54	$549.54	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $1,258.93	Facility		$380.19	$478.63	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $2,344.23	Professional		$190.55	$316.23	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $512.86	Professional		$426.58	$512.86	$512.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $851.14	Professional		$426.58	$426.58	$851.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $630.96	Professional		$398.11	$478.63	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $501.19	Professional		$186.21	$316.23	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09