Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $282.00 / $282.00	Facility		$282.00	$282.00	$282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $234.00 / $282.00	Professional		$201.00	$234.00	$282.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $597.96 / $597.96 / $597.96	Facility		$597.96	$597.96	$597.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.55 / $544.44 / $680.54	Professional		$430.55	$544.44	$680.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.95 / $287.43 / $476.58	Facility		$102.95	$287.43	$476.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $132.12 / $550.08	Professional		$44.92	$132.12	$550.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $179.41 / $390.00 / $657.48	Facility		$179.41	$390.00	$657.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $387.13 / $618.00	Professional		$183.96	$387.13	$618.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.76 / $700.53 / $824.16	Professional		$174.76	$700.53	$824.16
United Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $126.00 / $300.00	Professional		$44.92	$126.00	$300.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00