Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.64 / $219.64 / $219.64	Facility		$219.64	$219.64	$219.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.42 / $219.64 / $266.13	Professional		$196.42	$219.64	$266.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $276.83	Facility		$159.21	$159.21	$276.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.13 / $304.13 / $380.16	Professional		$304.13	$304.13	$380.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.14 / $380.57 / $1,295.00	Facility		$202.14	$380.57	$1,295.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $181.28 / $289.31	Professional		$108.57	$181.28	$289.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.19 / $276.83 / $467.79	Facility		$230.19	$276.83	$467.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.31 / $280.73 / $529.03	Professional		$232.31	$280.73	$529.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $227.33 / $266.13 / $316.33	Professional		$227.33	$266.13	$316.33
United Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $162.13 / $226.60	Professional		$95.22	$162.13	$226.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $246.64 / $246.64 / $246.64	Professional		$246.64	$246.64	$246.64