Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $407.38	Facility		$338.84	$338.84	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $436.52	Professional		$239.88	$275.42	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $870.96	Professional		$512.86	$691.83	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $346.74 / $660.69	Facility		$338.84	$346.74	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $1,819.70	Professional		$186.21	$186.21	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,000.00	Professional		$616.60	$870.96	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $416.87	Professional		$151.36	$218.78	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08