Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.80 / $300.80 / $300.80	Facility		$300.80	$300.80	$300.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.40 / $249.60 / $300.80	Professional		$214.40	$249.60	$300.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.79 / $637.79 / $637.79	Facility		$637.79	$637.79	$637.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.46 / $580.99 / $726.24	Professional		$459.46	$580.99	$726.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $306.58 / $508.35	Facility		$0.02	$306.58	$508.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $192.00 / $586.76	Professional		$163.19	$192.00	$586.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $586.76 / $711.13	Facility		$412.94	$586.76	$711.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $586.76 / $701.31	Professional		$384.00	$586.76	$701.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $457.60 / $770.98 / $879.10	Professional		$457.60	$770.98	$879.10
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $163.19 / $320.00	Professional		$134.40	$163.19	$320.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Professional		$320.00	$320.00	$320.00