Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $242.00 / $242.00	Facility		$242.00	$242.00	$242.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.49 / $200.81 / $242.00	Professional		$172.49	$200.81	$242.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.10 / $513.10 / $513.10	Facility		$513.10	$513.10	$513.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.72 / $467.40 / $584.26	Professional		$361.72	$467.40	$584.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.66 / $345.24 / $472.62	Facility		$246.66	$345.24	$472.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $180.11 / $529.73	Professional		$154.47	$180.11	$529.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $332.22 / $564.22 / $721.98	Facility		$332.22	$564.22	$721.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $308.94 / $524.50 / $721.98	Professional		$308.94	$524.50	$721.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $420.42 / $620.27 / $707.27	Professional		$420.42	$620.27	$707.27
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $180.11 / $296.07	Professional		$108.13	$180.11	$296.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $257.45 / $257.45	Professional		$257.45	$257.45	$257.45