Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.85 / $403.85 / $403.85	Facility		$403.85	$403.85	$403.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.64 / $403.85 / $424.92	Professional		$341.64	$403.85	$424.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $481.49	Facility		$274.54	$274.54	$481.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.13 / $559.13 / $698.91	Professional		$559.13	$559.13	$698.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.68 / $560.17 / $2,359.33	Facility		$367.68	$560.17	$2,359.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.35 / $289.43 / $516.41	Professional		$173.35	$289.43	$516.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $400.35 / $481.49 / $835.02	Facility		$400.35	$481.49	$835.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $394.33 / $488.25 / $920.10	Professional		$394.33	$488.25	$920.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $362.94 / $424.92 / $505.09	Professional		$362.94	$424.92	$505.09
United Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $289.43 / $385.59	Professional		$169.97	$289.43	$385.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $428.97 / $428.97 / $428.97	Professional		$428.97	$428.97	$428.97