Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.92 / $267.92 / $267.92	Facility		$267.92	$267.92	$267.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.69 / $242.23 / $267.92	Professional		$197.69	$242.23	$267.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $424.16	Facility		$180.71	$180.71	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.60 / $447.00 / $558.75	Professional		$412.60	$447.00	$558.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $360.89 / $1,641.93	Facility		$263.52	$360.89	$1,641.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $184.34 / $413.42	Professional		$115.22	$184.34	$413.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $352.68 / $424.16 / $554.98	Facility		$352.68	$424.16	$554.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.98 / $430.14 / $810.57	Professional		$331.98	$430.14	$810.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $241.23 / $282.42 / $335.70	Professional		$241.23	$282.42	$335.70
United Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $192.37 / $404.88	Professional		$115.22	$192.37	$404.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $377.89 / $377.89 / $377.89	Professional		$377.89	$377.89	$377.89