Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.96 / $246.96 / $246.96	Facility		$246.96	$246.96	$246.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $246.96 / $246.96	Professional		$204.92	$246.96	$246.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.38 / $477.20 / $596.50	Professional		$377.38	$477.20	$596.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $247.96 / $297.47 / $482.29	Facility		$247.96	$297.47	$482.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.99 / $157.63 / $1,308.34	Professional		$133.99	$157.63	$1,308.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.26 / $341.54 / $722.60	Facility		$315.26	$341.54	$722.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.26 / $315.26 / $722.60	Professional		$315.26	$315.26	$722.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $538.02 / $632.97 / $721.74	Professional		$538.02	$632.97	$721.74
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $133.99 / $262.72	Professional		$110.34	$133.99	$262.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $262.72 / $262.72	Professional		$262.72	$262.72	$262.72