Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.83 / $324.83 / $324.83	Facility		$324.83	$324.83	$324.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.53 / $269.54 / $324.83	Professional		$231.53	$269.54	$324.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.70 / $688.70 / $688.70	Facility		$688.70	$688.70	$688.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.12 / $627.34 / $784.18	Professional		$496.12	$627.34	$784.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $326.14 / $391.29 / $634.39	Facility		$326.14	$391.29	$634.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.34 / $241.76 / $711.05	Professional		$207.34	$241.76	$711.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $445.93 / $757.35 / $969.12	Facility		$445.93	$757.35	$969.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $414.68 / $704.03 / $969.12	Professional		$414.68	$704.03	$969.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $564.30 / $832.58 / $949.35	Professional		$564.30	$832.58	$949.35
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $207.34 / $345.57	Professional		$145.13	$207.34	$345.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $345.57 / $345.57	Professional		$345.57	$345.57	$345.57