Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.50 / $267.50 / $267.50	Facility		$267.50	$267.50	$267.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.91 / $266.54 / $267.50	Professional		$213.91	$266.54	$267.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $301.48	Facility		$170.54	$170.54	$301.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.91 / $370.13 / $462.66	Professional		$347.91	$370.13	$462.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $350.68 / $1,456.51	Facility		$213.84	$350.68	$1,456.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $181.54 / $323.93	Professional		$108.73	$181.54	$323.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.67 / $301.48 / $523.77	Facility		$250.67	$301.48	$523.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $246.90 / $305.72 / $576.11	Professional		$246.90	$305.72	$576.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $266.54 / $316.82	Professional		$227.66	$266.54	$316.82
United Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $181.54 / $241.86	Professional		$106.62	$181.54	$241.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $268.58 / $268.58 / $268.58	Professional		$268.58	$268.58	$268.58