Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.74 / $309.74 / $636.29	Facility		$309.74	$309.74	$636.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $257.02 / $309.74	Professional		$220.77	$257.02	$309.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.72 / $656.72 / $656.72	Facility		$656.72	$656.72	$656.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.27 / $598.62 / $748.27	Professional		$463.27	$598.62	$748.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.00 / $373.10 / $604.91	Facility		$311.00	$373.10	$604.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.05 / $197.71 / $604.04	Professional		$168.05	$197.71	$604.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $395.41 / $428.36 / $722.15	Facility		$395.41	$428.36	$722.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $395.41 / $552.92 / $722.15	Professional		$395.41	$552.92	$722.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $471.20 / $793.89 / $905.23	Professional		$471.20	$793.89	$905.23
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $168.05 / $329.51	Professional		$138.38	$168.05	$329.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Professional		$329.51	$329.51	$329.51