Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.43 / $353.43 / $353.43	Facility		$353.43	$353.43	$353.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $334.04 / $417.27	Professional		$125.60	$334.04	$417.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $301.92 / $470.79	Facility		$296.00	$301.92	$470.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.00 / $489.00 / $611.25	Professional		$489.00	$489.00	$611.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $296.24 / $456.99 / $1,976.32	Facility		$296.24	$456.99	$1,976.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.23 / $284.62 / $469.42	Professional		$170.23	$284.62	$469.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $391.46 / $470.79 / $726.67	Facility		$391.46	$470.79	$726.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $385.60 / $477.43 / $899.70	Professional		$385.60	$477.43	$899.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $356.41 / $417.27 / $495.99	Professional		$356.41	$417.27	$495.99
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $284.22 / $355.28	Professional		$147.91	$284.22	$355.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $419.43 / $419.43 / $419.43	Professional		$419.43	$419.43	$419.43