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 / $303.58 / $303.58	Professional		$216.38	$303.58	$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 $374.58 / $586.21 / $732.77	Professional		$374.58	$586.21	$732.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $304.80 / $365.68 / $1,534.06	Facility		$304.80	$365.68	$1,534.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $290.66 / $538.28	Professional		$183.01	$290.66	$538.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $387.55 / $683.16 / $703.59	Facility		$387.55	$683.16	$703.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $387.86 / $703.59 / $842.93	Professional		$387.86	$703.59	$842.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $778.11 / $887.24	Professional		$322.95	$778.11	$887.24
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $183.01 / $387.55	Professional		$135.63	$183.01	$387.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $322.95 / $322.95	Professional		$322.95	$322.95	$322.95