Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.85 / $276.85 / $975.60	Facility		$276.85	$276.85	$975.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $229.73 / $294.52	Professional		$197.33	$229.73	$294.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.87 / $586.87 / $586.87	Facility		$586.87	$586.87	$586.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.33 / $535.29 / $669.12	Professional		$423.33	$535.29	$669.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.95 / $333.49 / $540.67	Facility		$277.95	$333.49	$540.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $206.04 / $606.00	Professional		$176.71	$206.04	$606.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $380.06 / $645.47 / $825.94	Facility		$380.06	$645.47	$825.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $353.42 / $600.03 / $825.94	Professional		$353.42	$600.03	$825.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $480.95 / $709.59 / $809.11	Professional		$480.95	$709.59	$809.11
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $206.04 / $294.52	Professional		$123.70	$206.04	$294.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $294.52 / $294.52	Professional		$294.52	$294.52	$294.52