Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.75 / $294.75 / $294.75	Facility		$294.75	$294.75	$294.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $232.97 / $499.00	Professional		$113.06	$232.97	$499.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $243.27 / $446.45	Facility		$229.50	$243.27	$446.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.44 / $491.63 / $614.53	Professional		$434.44	$491.63	$614.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.36 / $393.72 / $1,920.53	Facility		$277.36	$393.72	$1,920.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $217.24 / $445.15	Professional		$135.78	$217.24	$445.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $371.22 / $446.45 / $654.02	Facility		$371.22	$446.45	$654.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $365.64 / $452.73 / $853.16	Professional		$365.64	$452.73	$853.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $332.82 / $395.61	Professional		$284.27	$332.82	$395.61
United Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $198.37 / $283.38	Professional		$133.13	$198.37	$283.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $385.57 / $385.57 / $385.57	Professional		$385.57	$385.57	$385.57