Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.82 / $204.82 / $204.82	Facility		$204.82	$204.82	$204.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $204.82 / $268.68	Professional		$185.18	$204.82	$268.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $324.26	Facility		$190.69	$190.69	$324.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.63 / $341.63 / $427.03	Professional		$341.63	$341.63	$427.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $226.83 / $399.18 / $1,539.25	Facility		$226.83	$399.18	$1,539.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $225.05 / $367.98	Professional		$133.54	$225.05	$367.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $269.62 / $324.26 / $565.70	Facility		$269.62	$324.26	$565.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $293.60 / $335.04 / $704.63	Professional		$293.60	$335.04	$704.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $327.85 / $383.83 / $456.24	Professional		$327.85	$383.83	$456.24
United Facility/Professional Professional Modifier Low / Median / High Price $115.15 / $196.09 / $326.81	Professional		$115.15	$196.09	$326.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $288.88 / $288.88	Professional		$288.88	$288.88	$288.88