Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $316.23 / $316.23	Facility		$263.03	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $354.81	Professional		$151.36	$263.03	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $512.86	Facility		$302.00	$302.00	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $549.54	Professional		$436.52	$436.52	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $426.58 / $977.24	Facility		$309.03	$426.58	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $1,995.26	Professional		$144.54	$257.04	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $501.19	Professional		$416.87	$501.19	$501.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $660.69	Professional		$416.87	$416.87	$660.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $489.78	Professional		$309.03	$363.08	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $398.11	Professional		$144.54	$245.47	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68