Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $309.03 / $309.03	Facility		$269.15	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $323.59	Professional		$162.18	$269.15	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $416.87	Facility		$239.88	$239.88	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $537.03	Professional		$426.58	$426.58	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $380.19 / $1,000.00	Facility		$295.12	$380.19	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $1,862.09	Professional		$147.91	$251.19	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $407.38	Professional		$338.84	$407.38	$407.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $676.08	Professional		$338.84	$338.84	$676.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $489.78	Professional		$309.03	$371.54	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $389.05	Professional		$147.91	$251.19	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08