Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.64 / $327.64 / $327.64	Facility		$327.64	$327.64	$327.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.54 / $271.88 / $327.64	Professional		$233.54	$271.88	$327.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.23 / $695.23 / $695.23	Facility		$695.23	$695.23	$695.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.76 / $633.22 / $791.52	Professional		$500.76	$633.22	$791.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $328.97 / $394.68 / $639.90	Facility		$328.97	$394.68	$639.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.57 / $209.14 / $639.12	Professional		$202.57	$209.14	$639.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $449.79 / $643.46 / $812.06	Facility		$449.79	$643.46	$812.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $418.27 / $639.12 / $829.58	Professional		$418.27	$639.12	$829.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $472.86 / $813.92 / $957.56	Professional		$472.86	$813.92	$957.56
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $202.57 / $348.56	Professional		$146.40	$202.57	$348.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $348.56 / $348.56	Professional		$348.56	$348.56	$348.56