Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.87 / $194.87 / $194.87	Facility		$194.87	$194.87	$194.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $161.69 / $194.87	Professional		$138.90	$161.69	$194.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.22 / $413.22 / $413.22	Facility		$413.22	$413.22	$413.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.50 / $376.67 / $470.83	Professional		$291.50	$376.67	$470.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.65 / $234.74 / $380.59	Facility		$195.65	$234.74	$380.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $124.39 / $380.02	Professional		$105.73	$124.39	$380.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.77 / $269.50 / $454.33	Facility		$248.77	$269.50	$454.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $347.88 / $454.33	Professional		$248.77	$347.88	$454.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $296.45 / $499.47 / $569.52	Professional		$296.45	$499.47	$569.52
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $105.73 / $186.58	Professional		$87.07	$105.73	$186.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $207.31	Professional		$207.31	$207.31	$207.31