Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $389.05	Professional		$229.09	$269.15	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $758.58	Professional		$489.78	$602.56	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $346.74 / $630.96	Facility		$302.00	$346.74	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $645.65	Professional		$245.47	$389.05	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $501.19	Professional		$338.84	$457.09	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $630.96	Professional		$302.00	$467.74	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $501.19	Professional		$426.58	$501.19	$501.19