Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.75 / $238.75 / $238.75	Facility		$238.75	$238.75	$238.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.78 / $237.47 / $238.75	Professional		$214.78	$237.47	$238.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $376.08	Facility		$192.25	$192.25	$376.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.25 / $398.25 / $497.81	Professional		$398.25	$398.25	$497.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.66 / $401.32 / $1,603.51	Facility		$243.66	$401.32	$1,603.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $231.07 / $390.82	Professional		$138.38	$231.07	$390.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $312.70 / $376.08 / $590.41	Facility		$312.70	$376.08	$590.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $308.02 / $381.36 / $718.67	Professional		$308.02	$381.36	$718.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $289.76 / $339.24 / $403.24	Professional		$289.76	$339.24	$403.24
United Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $173.30 / $288.83	Professional		$120.18	$173.30	$288.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $335.05 / $335.05 / $335.05	Professional		$335.05	$335.05	$335.05