Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.62 / $343.62 / $343.62	Facility		$343.62	$343.62	$343.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.33 / $301.39 / $343.62	Professional		$254.33	$301.39	$343.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $358.45	Facility		$274.27	$274.27	$358.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.41 / $475.50 / $594.38	Professional		$393.41	$475.50	$594.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $260.77 / $509.35 / $1,565.88	Facility		$260.77	$509.35	$1,565.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $205.30 / $372.50	Professional		$122.95	$205.30	$372.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $298.05 / $358.45 / $592.25	Facility		$298.05	$358.45	$592.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $293.57 / $363.48 / $684.98	Professional		$293.57	$363.48	$684.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.44 / $301.39 / $358.25	Professional		$257.44	$301.39	$358.25
United Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $205.30 / $273.49	Professional		$120.56	$205.30	$273.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $325.86 / $325.86 / $325.86	Professional		$325.86	$325.86	$325.86