Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.97 / $408.97 / $408.97	Facility		$408.97	$408.97	$408.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.50 / $339.35 / $408.97	Professional		$291.50	$339.35	$408.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.57 / $867.57 / $867.57	Facility		$867.57	$867.57	$867.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.17 / $790.54 / $988.18	Professional		$625.17	$790.54	$988.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $410.62 / $492.64 / $946.97	Facility		$410.62	$492.64	$946.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.89 / $261.04 / $797.74	Professional		$221.89	$261.04	$797.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $561.41 / $797.74 / $966.87	Facility		$561.41	$797.74	$966.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.08 / $797.74 / $953.50	Professional		$522.08	$797.74	$953.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $622.15 / $1,048.21 / $1,195.22	Professional		$622.15	$1,048.21	$1,195.22
United Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $221.89 / $652.61	Professional		$182.73	$221.89	$652.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $435.07 / $435.07	Professional		$435.07	$435.07	$435.07