Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.33 / $258.33 / $258.33	Facility		$258.33	$258.33	$258.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $214.37 / $258.33	Professional		$184.14	$214.37	$258.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.70 / $547.70 / $547.70	Facility		$547.70	$547.70	$547.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.48 / $499.39 / $624.24	Professional		$386.48	$499.39	$624.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.39 / $311.20 / $504.54	Facility		$259.39	$311.20	$504.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $164.90 / $503.91	Professional		$140.16	$164.90	$503.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $354.65 / $503.91 / $703.56	Facility		$354.65	$503.91	$703.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $503.91 / $602.32	Professional		$329.80	$503.91	$602.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $393.01 / $662.15 / $755.01	Professional		$393.01	$662.15	$755.01
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $140.16 / $274.83	Professional		$115.43	$140.16	$274.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $274.83	Professional		$274.83	$274.83	$274.83