Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.69 / $393.69 / $393.69	Facility		$393.69	$393.69	$393.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.03 / $393.69 / $464.00	Professional		$365.03	$393.69	$464.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $514.46	Facility		$294.27	$294.27	$514.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.88 / $544.88 / $681.09	Professional		$544.88	$544.88	$681.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $349.61 / $665.34 / $2,188.60	Facility		$349.61	$665.34	$2,188.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $316.05 / $534.63	Professional		$189.29	$316.05	$534.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $427.77 / $514.46 / $805.73	Facility		$427.77	$514.46	$805.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $421.34 / $521.70 / $983.13	Professional		$421.34	$521.70	$983.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $396.33 / $464.00 / $551.54	Professional		$396.33	$464.00	$551.54
United Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $279.27 / $395.06	Professional		$164.01	$279.27	$395.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $458.34 / $458.34 / $458.34	Professional		$458.34	$458.34	$458.34