Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.47 / $317.47 / $317.47	Facility		$317.47	$317.47	$317.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $263.43 / $317.47	Professional		$226.28	$263.43	$317.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.04 / $673.04 / $673.04	Facility		$673.04	$673.04	$673.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.28 / $613.63 / $767.04	Professional		$485.28	$613.63	$767.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.22 / $359.99 / $536.52	Facility		$152.22	$359.99	$536.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $195.38 / $619.26	Professional		$66.43	$195.38	$619.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $265.27 / $439.05 / $740.16	Facility		$265.27	$439.05	$740.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $272.01 / $435.82 / $695.72	Professional		$272.01	$435.82	$695.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $258.42 / $788.63 / $927.81	Professional		$258.42	$788.63	$927.81
United Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $141.85 / $303.95	Professional		$66.43	$141.85	$303.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $337.73 / $337.73	Professional		$337.73	$337.73	$337.73