Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.65 / $207.65 / $207.65	Facility		$207.65	$207.65	$207.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $159.63 / $258.64	Professional		$142.53	$159.63	$258.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $289.74	Facility		$195.78	$195.78	$289.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.25 / $290.12 / $359.06	Professional		$287.25	$290.12	$359.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.41 / $369.87 / $1,140.98	Facility		$195.41	$369.87	$1,140.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $176.18 / $301.10	Professional		$105.52	$176.18	$301.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $240.91 / $289.74 / $455.43	Facility		$240.91	$289.74	$455.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $237.30 / $293.82 / $553.67	Professional		$237.30	$293.82	$553.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $220.93 / $258.64 / $307.45	Professional		$220.93	$258.64	$307.45
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $176.18 / $220.23	Professional		$92.71	$176.18	$220.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $237.06 / $237.06 / $237.06	Professional		$237.06	$237.06	$237.06