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 $297.88 / $376.67 / $470.83	Professional		$297.88	$376.67	$470.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.65 / $234.74 / $506.95	Facility		$195.65	$234.74	$506.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $221.22 / $650.64	Professional		$124.39	$221.22	$650.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $267.52 / $454.33 / $702.69	Facility		$267.52	$454.33	$702.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $422.37 / $855.69	Professional		$248.77	$422.37	$855.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $352.43 / $516.37 / $860.62	Professional		$352.43	$516.37	$860.62
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $186.58 / $221.22	Professional		$87.07	$186.58	$221.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $207.31	Professional		$207.31	$207.31	$207.31