Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.88 / $869.88 / $869.88	Facility		$869.88	$869.88	$869.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $869.88 / $869.88	Professional		$739.40	$869.88	$869.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $646.19 / $799.73	Professional		$639.79	$646.19	$799.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.39 / $1,017.76 / $1,950.11	Facility		$124.39	$1,017.76	$1,950.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $71.50 / $751.26	Professional		$71.50	$71.50	$751.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $815.13 / $1,103.33 / $1,746.08	Facility		$815.13	$1,103.33	$1,746.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $1,113.75 / $1,618.82	Professional		$140.71	$1,113.75	$1,618.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $131.44 / $131.44	Professional		$131.44	$131.44	$131.44
United Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $143.00 / $302.77	Professional		$71.50	$143.00	$302.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $117.16 / $117.16	Professional		$117.16	$117.16	$117.16