Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.95 / $299.95 / $299.95	Facility		$299.95	$299.95	$299.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.08 / $299.95 / $353.56	Professional		$278.08	$299.95	$353.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $391.93	Facility		$231.66	$231.66	$391.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.13 / $415.13 / $518.91	Professional		$415.13	$415.13	$518.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.41 / $506.92 / $1,667.62	Facility		$266.41	$506.92	$1,667.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.24 / $240.83 / $407.29	Professional		$144.24	$240.83	$407.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.89 / $391.93 / $613.94	Facility		$325.89	$391.93	$613.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $321.01 / $397.46 / $748.98	Professional		$321.01	$397.46	$748.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $301.99 / $353.56 / $420.27	Professional		$301.99	$353.56	$420.27
United Facility/Professional Professional Modifier Low / Median / High Price $124.97 / $212.81 / $301.04	Professional		$124.97	$212.81	$301.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $349.17 / $349.17 / $349.17	Professional		$349.17	$349.17	$349.17