Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.33 / $327.60 / $699.67	Facility		$206.33	$327.60	$699.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $175.27 / $253.82	Professional		$159.34	$175.27	$253.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $325.08	Facility		$175.00	$175.00	$325.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $344.25 / $430.31	Professional		$344.25	$344.25	$430.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.24 / $346.86 / $1,382.94	Facility		$205.24	$346.86	$1,382.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $191.38 / $324.14	Professional		$119.61	$191.38	$324.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $270.30 / $325.08 / $509.14	Facility		$270.30	$325.08	$509.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $266.24 / $329.66 / $621.24	Professional		$266.24	$329.66	$621.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $250.44 / $293.20 / $348.52	Professional		$250.44	$293.20	$348.52
United Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $149.78 / $249.64	Professional		$103.64	$149.78	$249.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $280.75 / $280.75	Professional		$280.75	$280.75	$280.75