Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.21 / $247.21 / $247.21	Facility		$247.21	$247.21	$247.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.20 / $205.13 / $247.21	Professional		$176.20	$205.13	$247.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.20 / $524.20 / $524.20	Facility		$524.20	$524.20	$524.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.81 / $477.85 / $597.30	Professional		$369.81	$477.85	$597.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.21 / $297.77 / $482.79	Facility		$248.21	$297.77	$482.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $157.79 / $482.10	Professional		$134.12	$157.79	$482.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.58 / $341.89 / $576.37	Facility		$315.58	$341.89	$576.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.58 / $441.31 / $576.37	Professional		$315.58	$441.31	$576.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $376.08 / $633.62 / $722.49	Professional		$376.08	$633.62	$722.49
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $134.12 / $262.99	Professional		$110.46	$134.12	$262.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $262.99 / $262.99	Professional		$262.99	$262.99	$262.99