Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $165.44 / $165.44	Professional		$165.44	$165.44	$165.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.21 / $492.21 / $492.21	Facility		$492.21	$492.21	$492.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.57 / $448.47 / $560.59	Professional		$286.57	$448.47	$560.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.05 / $279.58 / $1,172.86	Facility		$233.05	$279.58	$1,172.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $222.23 / $370.38	Professional		$125.93	$222.23	$370.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $296.30 / $451.55 / $485.86	Facility		$296.30	$451.55	$485.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $296.55 / $485.86 / $644.46	Professional		$296.55	$485.86	$644.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $594.90 / $678.34	Professional		$246.92	$594.90	$678.34
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $148.15 / $296.30	Professional		$103.71	$148.15	$296.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $246.92 / $246.92	Professional		$246.92	$246.92	$246.92