Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $316.23	Facility		$257.04	$257.04	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $316.23	Professional		$181.97	$208.93	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $660.69	Professional		$389.05	$524.81	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $501.19	Facility		$257.04	$309.03	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $1,380.38	Professional		$141.25	$165.96	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $758.58	Professional		$389.05	$645.65	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $316.23	Professional		$114.82	$165.96	$316.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42