Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.53 / $157.53 / $157.53	Facility		$157.53	$157.53	$157.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.25 / $157.53 / $180.61	Professional		$148.25	$157.53	$180.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $316.25	Facility		$135.51	$135.51	$316.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.88 / $265.50 / $328.59	Professional		$262.88	$265.50	$328.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.46 / $266.64 / $1,155.77	Facility		$196.46	$266.64	$1,155.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $138.22 / $283.75	Professional		$86.40	$138.22	$283.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $262.95 / $316.25 / $416.17	Facility		$262.95	$316.25	$416.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.94 / $320.70 / $604.34	Professional		$248.94	$320.70	$604.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $180.89 / $211.78 / $251.73	Professional		$180.89	$211.78	$251.73
United Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $126.22 / $226.72	Professional		$84.71	$126.22	$226.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.75 / $281.75 / $281.75	Professional		$281.75	$281.75	$281.75