Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.79 / $208.79 / $208.79	Facility		$208.79	$208.79	$208.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.34 / $208.79 / $242.80	Professional		$185.34	$208.79	$242.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $261.22	Facility		$166.47	$166.47	$261.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.13 / $289.13 / $361.41	Professional		$289.13	$289.13	$361.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.48 / $272.25 / $1,123.06	Facility		$196.48	$272.25	$1,123.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $165.39 / $271.45	Professional		$99.06	$165.39	$271.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $217.20 / $261.22 / $405.70	Facility		$217.20	$261.22	$405.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.92 / $264.89 / $499.18	Professional		$213.92	$264.89	$499.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $242.80 / $288.61	Professional		$207.40	$242.80	$288.61
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $158.91 / $249.27	Professional		$82.58	$158.91	$249.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $232.72 / $232.72 / $232.72	Professional		$232.72	$232.72	$232.72