Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.91 / $156.91 / $156.91	Facility		$156.91	$156.91	$156.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.87 / $156.91 / $176.53	Professional		$141.87	$156.91	$176.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $248.42	Facility		$141.12	$141.12	$248.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.75 / $264.37 / $327.19	Professional		$261.75	$264.37	$327.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.53 / $290.73 / $1,262.20	Facility		$176.53	$290.73	$1,262.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $164.62 / $268.04	Professional		$102.30	$164.62	$268.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $206.56 / $248.42 / $433.40	Facility		$206.56	$248.42	$433.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $220.14 / $251.92 / $474.72	Professional		$220.14	$251.92	$474.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $252.19 / $299.76	Professional		$215.42	$252.19	$299.76
United Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $131.44 / $214.73	Professional		$88.22	$131.44	$214.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $221.32 / $221.32 / $221.32	Professional		$221.32	$221.32	$221.32