Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.95 / $201.95 / $201.95	Facility		$201.95	$201.95	$201.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.95 / $212.45 / $213.02	Professional		$201.95	$212.45	$213.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $299.41	Facility		$170.15	$170.15	$299.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.38 / $279.38 / $349.22	Professional		$279.38	$279.38	$349.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.02 / $268.20 / $1,135.98	Facility		$186.02	$268.20	$1,135.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $145.10 / $278.20	Professional		$86.90	$145.10	$278.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.95 / $299.41 / $391.75	Facility		$248.95	$299.41	$391.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $303.62 / $572.15	Professional		$234.34	$303.62	$572.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.94 / $213.02 / $253.21	Professional		$181.94	$213.02	$253.21
United Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $139.04 / $181.37	Professional		$79.73	$139.04	$181.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $266.75 / $266.75	Professional		$266.75	$266.75	$266.75