Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.58 / $303.58 / $303.58	Facility		$303.58	$303.58	$303.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $251.91 / $303.58	Professional		$216.38	$251.91	$303.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.66 / $643.66 / $643.66	Facility		$643.66	$643.66	$643.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.59 / $586.21 / $732.77	Professional		$463.59	$586.21	$732.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $304.80 / $365.68 / $592.88	Facility		$304.80	$365.68	$592.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $193.78 / $703.59	Professional		$183.01	$193.78	$703.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $416.75 / $683.16 / $826.78	Facility		$416.75	$683.16	$826.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $683.16 / $707.79	Professional		$387.55	$683.16	$707.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $461.83 / $778.11 / $887.24	Professional		$461.83	$778.11	$887.24
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $183.01 / $322.95	Professional		$135.63	$183.01	$322.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $322.95 / $322.95	Professional		$322.95	$322.95	$322.95