Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.45 / $284.45 / $284.45	Facility		$284.45	$284.45	$284.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.76 / $236.04 / $284.45	Professional		$202.76	$236.04	$284.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $603.19 / $603.19 / $603.19	Facility		$603.19	$603.19	$603.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.14 / $549.66 / $687.07	Professional		$363.14	$549.66	$687.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.93 / $285.61 / $480.74	Facility		$66.93	$285.61	$480.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $181.57 / $1,513.10	Professional		$29.21	$181.57	$1,513.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $393.41 / $663.22	Facility		$105.00	$393.41	$663.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.79 / $363.44 / $623.40	Professional		$92.79	$363.44	$623.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $619.74 / $831.36	Professional		$86.54	$619.74	$831.36
United Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $127.10 / $272.36	Professional		$29.21	$127.10	$272.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.62 / $302.62 / $302.62	Professional		$302.62	$302.62	$302.62