Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.24 / $198.24 / $198.24	Facility		$198.24	$198.24	$198.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.78 / $189.20 / $198.24	Professional		$182.78	$189.20	$198.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $257.61	Facility		$126.98	$126.98	$257.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.50 / $274.50 / $343.13	Professional		$274.50	$274.50	$343.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.71 / $246.48 / $1,050.89	Facility		$163.71	$246.48	$1,050.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $128.88 / $267.70	Professional		$77.19	$128.88	$267.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.19 / $257.61 / $369.50	Facility		$214.19	$257.61	$369.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $210.97 / $261.23 / $492.27	Professional		$210.97	$261.23	$492.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $189.20 / $224.89	Professional		$161.62	$189.20	$224.89
United Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $128.08 / $161.10	Professional		$75.20	$128.08	$161.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.51 / $229.51 / $229.51	Professional		$229.51	$229.51	$229.51