Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.27 / $209.27 / $209.27	Facility		$209.27	$209.27	$209.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.88 / $209.27 / $233.52	Professional		$188.88	$209.27	$233.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $372.96	Facility		$278.10	$278.10	$372.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.13 / $301.11 / $372.66	Professional		$298.13	$301.11	$372.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.49 / $394.65 / $1,140.66	Facility		$234.49	$394.65	$1,140.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.30 / $281.01 / $443.06	Professional		$168.30	$281.01	$443.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $372.96 / $380.31 / $508.51	Facility		$372.96	$380.31	$508.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $374.74 / $414.15 / $784.41	Professional		$374.74	$414.15	$784.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $249.65 / $289.31 / $352.38	Professional		$249.65	$289.31	$352.38
United Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $217.27 / $351.26	Professional		$44.86	$217.27	$351.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $332.27 / $332.27 / $332.27	Professional		$332.27	$332.27	$332.27