Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.30 / $197.30 / $197.30	Facility		$197.30	$197.30	$197.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.88 / $195.79 / $197.30	Professional		$171.88	$195.79	$197.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $300.95	Facility		$170.96	$170.96	$300.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.25 / $332.54 / $411.56	Professional		$329.25	$332.54	$411.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.79 / $330.89 / $1,435.50	Facility		$195.79	$330.89	$1,435.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $182.56 / $324.72	Professional		$114.10	$182.56	$324.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.24 / $300.95 / $525.04	Facility		$250.24	$300.95	$525.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $246.48 / $305.19 / $575.11	Professional		$246.48	$305.19	$575.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $238.90 / $279.70 / $332.46	Professional		$238.90	$279.70	$332.46
United Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $151.54 / $242.46	Professional		$106.88	$151.54	$242.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $268.13 / $268.13 / $268.13	Professional		$268.13	$268.13	$268.13