Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.78 / $234.78 / $234.78	Facility		$234.78	$234.78	$234.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.26 / $208.22 / $234.78	Professional		$189.26	$208.22	$234.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $331.40	Facility		$218.57	$218.57	$331.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.27 / $391.88 / $489.84	Professional		$388.27	$391.88	$489.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.22 / $351.89 / $1,607.39	Facility		$208.22	$351.89	$1,607.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $194.15 / $357.57	Professional		$121.35	$194.15	$357.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $275.56 / $331.40 / $578.16	Facility		$275.56	$331.40	$578.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $271.43 / $336.07 / $633.29	Professional		$271.43	$336.07	$633.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $254.07 / $297.45 / $353.57	Professional		$254.07	$297.45	$353.57
United Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $175.36 / $253.26	Professional		$117.68	$175.36	$253.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.24 / $295.24 / $295.24	Professional		$295.24	$295.24	$295.24