Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.39 / $266.39 / $266.39	Facility		$266.39	$266.39	$266.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $236.17 / $266.39	Professional		$228.16	$236.17	$266.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $399.52	Facility		$215.87	$215.87	$399.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.38 / $444.38 / $555.47	Professional		$440.38	$444.38	$555.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.22 / $399.13 / $1,848.60	Facility		$248.22	$399.13	$1,848.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $220.22 / $410.04	Professional		$137.63	$220.22	$410.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $332.20 / $399.52 / $662.99	Facility		$332.20	$399.52	$662.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $327.24 / $405.16 / $763.49	Professional		$327.24	$405.16	$763.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $337.38 / $401.03	Professional		$288.17	$337.38	$401.03
United Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $181.20 / $287.26	Professional		$134.94	$181.20	$287.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.94 / $355.94 / $355.94	Professional		$355.94	$355.94	$355.94