Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.87 / $244.87 / $244.87	Facility		$244.87	$244.87	$244.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.54 / $203.19 / $244.87	Professional		$174.54	$203.19	$244.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.63 / $519.63 / $519.63	Facility		$519.63	$519.63	$519.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.43 / $473.28 / $591.60	Professional		$299.43	$473.28	$591.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $245.86 / $1,237.38	Facility		$0.02	$245.86	$1,237.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $234.45 / $477.65	Professional		$132.86	$234.45	$477.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $336.15 / $477.65 / $578.91	Facility		$336.15	$477.65	$578.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $477.65 / $679.91	Professional		$312.60	$477.65	$679.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $372.52 / $627.62 / $715.65	Professional		$372.52	$627.62	$715.65
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $312.60	Professional		$109.41	$156.30	$312.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $260.50 / $260.50	Professional		$260.50	$260.50	$260.50