Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.30 / $209.30 / $209.30	Facility		$209.30	$209.30	$209.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.91 / $209.30 / $238.92	Professional		$205.91	$209.30	$238.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $418.35	Facility		$188.22	$188.22	$418.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.13 / $352.62 / $436.41	Professional		$349.13	$352.62	$436.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.91 / $355.95 / $1,633.27	Facility		$259.91	$355.95	$1,633.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $192.01 / $417.13	Professional		$120.01	$192.01	$417.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $347.86 / $418.35 / $578.04	Facility		$347.86	$418.35	$578.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $342.64 / $424.26 / $799.49	Professional		$342.64	$424.26	$799.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $294.16 / $349.66	Professional		$251.27	$294.16	$349.66
United Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $175.32 / $250.46	Professional		$117.66	$175.32	$250.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $372.71 / $372.71 / $372.71	Professional		$372.71	$372.71	$372.71