Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.37 / $379.37 / $379.37	Facility		$379.37	$379.37	$379.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.41 / $314.80 / $379.37	Professional		$270.41	$314.80	$379.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.90 / $804.90 / $804.90	Facility		$804.90	$804.90	$804.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.75 / $733.09 / $916.37	Professional		$579.75	$733.09	$916.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.15 / $456.99 / $740.92	Facility		$354.15	$456.99	$740.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $242.15 / $740.04	Professional		$154.54	$242.15	$740.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $490.89 / $617.16 / $884.50	Facility		$490.89	$617.16	$884.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $484.31 / $619.49 / $831.40	Professional		$484.31	$619.49	$831.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $942.42 / $1,108.74	Professional		$403.59	$942.42	$1,108.74
United Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $169.51 / $363.23	Professional		$154.54	$169.51	$363.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $403.59 / $403.59	Professional		$403.59	$403.59	$403.59