Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.77 / $200.77 / $200.77	Facility		$200.77	$200.77	$200.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.77 / $200.77 / $241.26	Professional		$182.77	$200.77	$241.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $320.02	Facility		$165.40	$165.40	$320.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.88 / $334.88 / $418.59	Professional		$334.88	$334.88	$418.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.35 / $358.45 / $1,428.20	Facility		$205.35	$358.45	$1,428.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $202.08 / $352.93	Professional		$119.91	$202.08	$352.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $266.11 / $320.02 / $507.97	Facility		$266.11	$320.02	$507.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $289.77 / $324.55 / $632.72	Professional		$289.77	$324.55	$632.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $344.66 / $409.68	Professional		$294.39	$344.66	$409.68
United Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $234.77 / $332.29	Professional		$110.05	$234.77	$332.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $285.12 / $285.12 / $285.12	Professional		$285.12	$285.12	$285.12