Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.17 / $253.17 / $273.29	Professional		$253.17	$253.17	$273.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.88 / $406.88 / $508.59	Professional		$406.88	$406.88	$508.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $170.36 / $312.33	Professional		$163.25	$170.36	$312.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $341.78 / $341.78 / $446.94	Professional		$341.78	$341.78	$446.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $570.23 / $740.83 / $841.85	Professional		$570.23	$740.83	$841.85
United Facility/Professional Professional Modifier Low / Median / High Price $170.36 / $312.33 / $400.16	Professional		$170.36	$312.33	$400.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $465.00 / $465.00 / $465.00	Facility		$465.00	$465.00	$465.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $465.00 / $465.00	Professional		$465.00	$465.00	$465.00