Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.48 / $248.48 / $248.48	Facility		$248.48	$248.48	$248.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.11 / $211.40 / $396.50	Professional		$177.11	$211.40	$396.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.80 / $526.80 / $526.80	Facility		$526.80	$526.80	$526.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.44 / $479.81 / $599.76	Professional		$379.44	$479.81	$599.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.27 / $299.32 / $550.00	Facility		$253.27	$299.32	$550.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $193.96 / $1,453.34	Professional		$158.60	$193.96	$1,453.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.12 / $475.81 / $653.92	Facility		$341.12	$475.81	$653.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $475.81 / $579.32	Professional		$317.47	$475.81	$579.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $541.34 / $726.19	Professional		$264.33	$541.34	$726.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $158.60 / $348.93	Professional		$158.60	$158.60	$348.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $264.33 / $264.33	Professional		$264.33	$264.33	$264.33