Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.56 / $266.56 / $266.56	Facility		$266.56	$266.56	$266.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $227.73 / $266.56	Professional		$196.69	$227.73	$266.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $398.77	Facility		$225.30	$225.30	$398.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.91 / $444.75 / $555.94	Professional		$387.91	$444.75	$555.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $247.74 / $339.28 / $1,533.12	Facility		$247.74	$339.28	$1,533.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.63 / $183.41 / $385.72	Professional		$114.63	$183.41	$385.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.57 / $398.77 / $552.16	Facility		$331.57	$398.77	$552.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $326.58 / $404.38 / $762.05	Professional		$326.58	$404.38	$762.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $280.98 / $334.00	Professional		$240.00	$280.98	$334.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $167.47 / $239.24	Professional		$112.39	$167.47	$239.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.27 / $355.27 / $355.27	Professional		$355.27	$355.27	$355.27