Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.52 / $289.52 / $289.52	Facility		$289.52	$289.52	$289.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.36 / $240.24 / $289.52	Professional		$206.36	$240.24	$289.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.28 / $614.28 / $614.28	Facility		$614.28	$614.28	$614.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.96 / $559.45 / $699.31	Professional		$432.96	$559.45	$699.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.69 / $348.75 / $565.42	Facility		$290.69	$348.75	$565.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $184.80 / $564.61	Professional		$157.08	$184.80	$564.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $369.60 / $400.40 / $675.01	Facility		$369.60	$400.40	$675.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $516.84 / $675.01	Professional		$369.60	$516.84	$675.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $440.44 / $742.06 / $846.14	Professional		$440.44	$742.06	$846.14
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $157.08 / $308.00	Professional		$129.36	$157.08	$308.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $308.00	Professional		$308.00	$308.00	$308.00