Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.51 / $94.51 / $381.04	Facility		$94.51	$94.51	$381.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.12 / $294.22 / $378.97	Professional		$255.12	$294.22	$378.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $600.26	Facility		$321.89	$336.03	$600.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.63 / $641.98 / $794.53	Professional		$635.63	$641.98	$794.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $378.97 / $640.46 / $2,563.00	Facility		$378.97	$640.46	$2,563.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.86 / $353.38 / $598.51	Professional		$220.86	$353.38	$598.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $499.10 / $600.26 / $940.09	Facility		$499.10	$600.26	$940.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $491.60 / $608.71 / $1,147.08	Professional		$491.60	$608.71	$1,147.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $462.43 / $541.39 / $643.52	Professional		$462.43	$541.39	$643.52
United Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $387.60 / $630.65	Professional		$203.66	$387.60	$630.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $518.41 / $518.41 / $518.41	Professional		$518.41	$518.41	$518.41