Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.85 / $238.85 / $238.85	Facility		$238.85	$238.85	$238.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.82 / $226.56 / $238.85	Professional		$198.82	$226.56	$238.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $348.14	Facility		$189.91	$189.91	$348.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.63 / $398.63 / $498.28	Professional		$398.63	$398.63	$498.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $226.56 / $382.89 / $1,586.19	Facility		$226.56	$382.89	$1,586.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $211.26 / $360.71	Professional		$132.04	$211.26	$360.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $289.47 / $348.14 / $583.24	Facility		$289.47	$348.14	$583.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $285.13 / $353.04 / $665.26	Professional		$285.13	$353.04	$665.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $323.66 / $384.72	Professional		$276.45	$323.66	$384.72
United Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $220.46 / $360.95	Professional		$126.35	$220.46	$360.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $310.16 / $310.16 / $310.16	Professional		$310.16	$310.16	$310.16