Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.14 / $311.14 / $311.14	Facility		$311.14	$311.14	$311.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.77 / $258.18 / $311.14	Professional		$221.77	$258.18	$311.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.98 / $659.98 / $659.98	Facility		$659.98	$659.98	$659.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.47 / $601.23 / $751.54	Professional		$475.47	$601.23	$751.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.96 / $374.79 / $525.83	Facility		$216.96	$374.79	$525.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $198.60 / $606.91	Professional		$94.67	$198.60	$606.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $378.04 / $427.14 / $725.42	Facility		$378.04	$427.14	$725.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $379.49 / $427.14 / $681.86	Professional		$379.49	$427.14	$681.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $772.92 / $909.32	Professional		$331.00	$772.92	$909.32
United Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $198.60 / $380.65	Professional		$94.67	$198.60	$380.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $331.00 / $331.00	Professional		$331.00	$331.00	$331.00