Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $457.09 / $457.09	Facility		$363.08	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $489.78	Professional		$190.55	$363.08	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $588.84	Facility		$363.08	$363.08	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $794.33	Professional		$630.96	$630.96	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $562.34 / $1,348.96	Facility		$363.08	$562.34	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $2,884.03	Professional		$199.53	$331.13	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $575.44	Professional		$478.63	$575.44	$575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $891.25	Professional		$478.63	$478.63	$891.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $660.69	Professional		$416.87	$501.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $562.34	Professional		$199.53	$331.13	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86