Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $354.81 / $354.81	Facility		$309.03	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $380.19	Professional		$173.78	$309.03	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $478.63	Facility		$275.42	$275.42	$478.63
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 $354.81 / $457.09 / $1,148.15	Facility		$354.81	$457.09	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $2,187.76	Professional		$169.82	$281.84	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $467.74	Professional		$389.05	$467.74	$467.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $758.58	Professional		$389.05	$389.05	$758.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $562.34	Professional		$354.81	$426.58	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $446.68	Professional		$169.82	$281.84	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87