Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.24 / $260.24 / $260.24	Facility		$260.24	$260.24	$260.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.62 / $260.24 / $398.20	Professional		$241.62	$260.24	$398.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $340.54	Facility		$197.02	$197.02	$340.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.38 / $360.38 / $450.47	Professional		$360.38	$360.38	$450.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $226.29 / $414.14 / $1,592.80	Facility		$226.29	$414.14	$1,592.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.81 / $241.98 / $386.82	Professional		$142.81	$241.98	$386.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $283.16 / $340.54 / $586.89	Facility		$283.16	$340.54	$586.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $308.33 / $347.58 / $731.00	Professional		$308.33	$347.58	$731.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $340.13 / $398.20 / $473.33	Professional		$340.13	$398.20	$473.33
United Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $203.43 / $339.05	Professional		$119.46	$203.43	$339.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $303.39 / $303.39	Professional		$303.39	$303.39	$303.39