Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.39 / $227.39 / $227.39	Facility		$227.39	$227.39	$227.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.07 / $188.68 / $227.39	Professional		$162.07	$188.68	$227.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.42 / $482.42 / $482.42	Facility		$482.42	$482.42	$482.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $439.33 / $549.16	Professional		$340.00	$439.33	$549.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.76 / $324.64 / $444.07	Facility		$231.76	$324.64	$444.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $169.23 / $497.73	Professional		$145.13	$169.23	$497.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $312.14 / $530.14 / $659.50	Facility		$312.14	$530.14	$659.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $492.81 / $631.36	Professional		$290.27	$492.81	$631.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $582.80 / $664.55	Professional		$345.92	$582.80	$664.55
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $169.23 / $319.31	Professional		$101.60	$169.23	$319.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $241.90 / $241.90	Professional		$241.90	$241.90	$241.90