Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.70 / $232.70 / $232.70	Facility		$232.70	$232.70	$232.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.64 / $232.70 / $250.27	Professional		$207.64	$232.70	$250.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $403.60	Facility		$312.30	$312.30	$403.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.50 / $337.85 / $418.13	Professional		$334.50	$337.85	$418.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.08 / $422.96 / $1,271.08	Facility		$265.08	$422.96	$1,271.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $292.54 / $499.56	Professional		$175.21	$292.54	$499.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $402.14 / $405.65 / $551.12	Facility		$402.14	$405.65	$551.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $403.60 / $437.90 / $850.73	Professional		$403.60	$437.90	$850.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $279.99 / $324.47 / $366.84	Professional		$279.99	$324.47	$366.84
United Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $244.99 / $365.67	Professional		$50.32	$244.99	$365.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $359.57 / $359.57 / $359.57	Professional		$359.57	$359.57	$359.57