Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.33 / $374.54 / $1,519.94	Facility		$304.33	$374.54	$1,519.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $304.33 / $304.33	Professional		$216.91	$304.33	$304.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.62 / $645.62 / $645.62	Facility		$645.62	$645.62	$645.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.11 / $588.16 / $735.22	Professional		$372.11	$588.16	$735.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.41 / $366.58 / $1,537.81	Facility		$203.41	$366.58	$1,537.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $261.06 / $388.50	Professional		$88.76	$261.06	$388.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $281.94 / $388.50 / $593.63	Facility		$281.94	$388.50	$593.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.84 / $363.49 / $844.99	Professional		$191.84	$363.49	$844.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $755.99 / $889.41	Professional		$323.75	$755.99	$889.41
United Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $194.25 / $323.75	Professional		$88.76	$194.25	$323.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $323.75 / $323.75	Professional		$323.75	$323.75	$323.75