Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.99 / $305.99 / $305.99	Facility		$305.99	$305.99	$305.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.99 / $312.92 / $435.55	Professional		$305.99	$312.92	$435.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $441.02	Facility		$228.28	$228.28	$441.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.38 / $427.61 / $529.22	Professional		$423.38	$427.61	$529.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $289.89 / $470.54 / $1,903.31	Facility		$289.89	$470.54	$1,903.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $289.06 / $458.31	Professional		$177.68	$289.06	$458.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $366.70 / $441.02 / $701.07	Facility		$366.70	$441.02	$701.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.17 / $447.23 / $842.77	Professional		$380.17	$447.23	$842.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $372.03 / $435.55 / $517.72	Professional		$372.03	$435.55	$517.72
United Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $296.67 / $401.85	Professional		$151.88	$296.67	$401.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $392.91 / $392.91 / $392.91	Professional		$392.91	$392.91	$392.91