Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.29 / $299.29 / $299.29	Facility		$299.29	$299.29	$299.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.33 / $269.35 / $899.00	Professional		$214.33	$269.35	$899.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $471.65	Facility		$261.02	$264.44	$471.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.50 / $499.50 / $624.38	Professional		$499.50	$499.50	$624.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.02 / $486.82 / $2,238.26	Facility		$293.02	$486.82	$2,238.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $268.60 / $488.45	Professional		$167.88	$268.60	$488.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $392.17 / $471.65 / $789.78	Facility		$392.17	$471.65	$789.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $386.29 / $478.30 / $901.32	Professional		$386.29	$478.30	$901.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $351.50 / $411.52 / $489.16	Professional		$351.50	$411.52	$489.16
United Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $213.91 / $364.71	Professional		$167.88	$213.91	$364.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.33 / $407.33 / $407.33	Professional		$407.33	$407.33	$407.33