Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.29 / $223.29 / $785.65	Facility		$223.29	$223.29	$785.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.48 / $184.48 / $184.48	Professional		$184.48	$184.48	$184.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.45 / $500.04 / $625.05	Professional		$395.45	$500.04	$625.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.87 / $311.77 / $505.48	Facility		$259.87	$311.77	$505.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $165.21 / $541.88	Professional		$140.43	$165.21	$541.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $355.32 / $503.54 / $603.46	Facility		$355.32	$503.54	$603.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $330.42 / $503.54 / $603.46	Professional		$330.42	$503.54	$603.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $393.75 / $663.40 / $756.44	Professional		$393.75	$663.40	$756.44
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $140.43 / $275.35	Professional		$115.65	$140.43	$275.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $275.35 / $275.35	Professional		$275.35	$275.35	$275.35