Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.26 / $262.26 / $262.26	Facility		$262.26	$262.26	$262.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $217.62 / $262.26	Professional		$139.50	$217.62	$262.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $556.19 / $556.19 / $556.19	Facility		$556.19	$556.19	$556.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.13 / $507.23 / $634.03	Professional		$401.13	$507.23	$634.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.32 / $315.91 / $1,388.48	Facility		$263.32	$315.91	$1,388.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $167.40 / $511.57	Professional		$71.97	$167.40	$511.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $287.79 / $362.70 / $611.44	Facility		$287.79	$362.70	$611.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $277.83 / $364.21 / $611.44	Professional		$277.83	$364.21	$611.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.97 / $672.19 / $766.47	Professional		$398.97	$672.19	$766.47
United Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $167.40 / $320.85	Professional		$71.97	$167.40	$320.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $279.00 / $279.00	Professional		$279.00	$279.00	$279.00