Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.88 / $273.88 / $273.88	Facility		$273.88	$273.88	$273.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.21 / $227.26 / $273.88	Professional		$195.21	$227.26	$273.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.99 / $580.99 / $580.99	Facility		$580.99	$580.99	$580.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.72 / $529.41 / $661.78	Professional		$409.72	$529.41	$661.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.99 / $329.90 / $534.88	Facility		$274.99	$329.90	$534.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $174.82 / $534.24	Professional		$148.59	$174.82	$534.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $375.98 / $534.24 / $745.88	Facility		$375.98	$534.24	$745.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $349.63 / $534.24 / $638.54	Professional		$349.63	$534.24	$638.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.64 / $701.97 / $800.42	Professional		$416.64	$701.97	$800.42
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $148.59 / $291.36	Professional		$122.37	$148.59	$291.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $291.36	Professional		$291.36	$291.36	$291.36