Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.64 / $217.64 / $217.64	Facility		$217.64	$217.64	$217.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.12 / $161.72 / $217.64	Professional		$152.12	$161.72	$217.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.18 / $487.18 / $487.18	Facility		$487.18	$487.18	$487.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.69 / $489.99 / $612.49	Professional		$379.69	$489.99	$612.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.95 / $300.64 / $416.81	Facility		$202.95	$300.64	$416.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.35 / $186.38 / $1,397.94	Professional		$138.35	$186.38	$1,397.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.77 / $434.72 / $630.86	Facility		$268.77	$434.72	$630.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $353.35 / $402.32 / $595.55	Professional		$353.35	$402.32	$595.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $230.43 / $392.07 / $480.41	Professional		$230.43	$392.07	$480.41
United Facility/Professional Professional Modifier Low / Median / High Price $137.21 / $186.38 / $508.99	Professional		$137.21	$186.38	$508.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $392.10 / $510.00 / $510.00	Professional		$392.10	$510.00	$510.00