Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.14 / $245.14 / $1,657.60	Facility		$245.14	$245.14	$1,657.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $203.42 / $245.14	Professional		$174.73	$203.42	$245.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.63 / $519.63 / $519.63	Facility		$519.63	$519.63	$519.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.28 / $473.28 / $591.60	Professional		$374.28	$473.28	$591.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.13 / $295.29 / $478.76	Facility		$246.13	$295.29	$478.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $182.44 / $536.60	Professional		$156.47	$182.44	$536.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $336.54 / $571.54 / $731.35	Facility		$336.54	$571.54	$731.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $531.29 / $731.35	Professional		$312.95	$531.29	$731.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $425.87 / $628.32 / $716.44	Professional		$425.87	$628.32	$716.44
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $182.44 / $344.24	Professional		$109.53	$182.44	$344.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $260.79 / $260.79	Professional		$260.79	$260.79	$260.79