Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.35 / $229.35 / $229.35	Facility		$229.35	$229.35	$229.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.82 / $219.86 / $229.35	Professional		$176.82	$219.86	$229.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $249.22	Facility		$194.51	$194.51	$249.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.98 / $317.63 / $397.03	Professional		$286.98	$317.63	$397.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.24 / $275.60 / $1,187.13	Facility		$190.24	$275.60	$1,187.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $149.76 / $267.20	Professional		$89.69	$149.76	$267.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.21 / $249.22 / $432.05	Facility		$207.21	$249.22	$432.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.10 / $252.70 / $476.23	Professional		$204.10	$252.70	$476.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $187.79 / $219.86 / $261.33	Professional		$187.79	$219.86	$261.33
United Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $149.76 / $267.36	Professional		$87.94	$149.76	$267.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $222.03 / $222.03	Professional		$222.03	$222.03	$222.03