Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.98 / $360.98 / $360.98	Facility		$360.98	$360.98	$360.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.80 / $360.98 / $466.01	Professional		$288.80	$360.98	$466.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $407.03	Facility		$297.81	$297.81	$407.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.50 / $499.50 / $624.38	Professional		$499.50	$499.50	$624.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $264.82 / $484.65 / $1,867.83	Facility		$264.82	$484.65	$1,867.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.70 / $283.18 / $477.20	Professional		$171.70	$283.18	$477.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $338.44 / $407.03 / $686.82	Facility		$338.44	$407.03	$686.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $368.54 / $412.76 / $855.50	Professional		$368.54	$412.76	$855.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.04 / $466.01 / $553.92	Professional		$398.04	$466.01	$553.92
United Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $317.16 / $474.08	Professional		$139.80	$317.16	$474.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $362.63 / $362.63 / $362.63	Professional		$362.63	$362.63	$362.63