Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.11 / $305.11 / $305.11	Facility		$305.11	$305.11	$305.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $253.17 / $305.11	Professional		$194.75	$253.17	$305.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.91 / $646.91 / $646.91	Facility		$646.91	$646.91	$646.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.20 / $589.48 / $736.85	Professional		$456.20	$589.48	$736.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $306.33 / $367.52 / $4,928.99	Facility		$306.33	$367.52	$4,928.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.54 / $194.75 / $595.16	Professional		$165.54	$194.75	$595.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $418.85 / $595.16 / $721.31	Facility		$418.85	$595.16	$721.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.50 / $595.16 / $711.35	Professional		$389.50	$595.16	$711.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $464.15 / $782.01 / $891.69	Professional		$464.15	$782.01	$891.69
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $194.75 / $292.12	Professional		$136.32	$194.75	$292.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $324.58	Professional		$324.58	$324.58	$324.58