Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.17 / $206.17 / $206.17	Facility		$206.17	$206.17	$206.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.68 / $206.17 / $258.06	Professional		$190.68	$206.17	$258.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $268.75	Facility		$159.22	$159.22	$268.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.38 / $285.38 / $356.72	Professional		$285.38	$285.38	$356.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.89 / $289.05 / $1,155.73	Facility		$205.89	$289.05	$1,155.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $175.78 / $279.27	Professional		$105.27	$175.78	$279.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $223.45 / $268.75 / $429.65	Facility		$223.45	$268.75	$429.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.25 / $272.52 / $513.57	Professional		$225.25	$272.52	$513.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $220.42 / $258.06 / $306.74	Professional		$220.42	$258.06	$306.74
United Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $148.93 / $219.72	Professional		$87.46	$148.93	$219.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.43 / $239.43 / $239.43	Professional		$239.43	$239.43	$239.43